| NPI | 1841426806 |
|---|---|
| Doing Business As | LA FONTAINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH OLESZEK President 303-355-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 20041336762) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2015-05-20 |