| NPI | 1841696465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BOWEN Executive Director 303-776-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2021-08-03 |