| NPI | 1841936572 |
|---|---|
| Doing Business As | STOUT STREET RECUPERATIVE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | PETE J STOLLER CFO 303-312-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-06-07 |