| NPI | 1831219328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BECKER CEO 970-668-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-06-13 |