| NPI | 1881067569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H QUTUB Member 303-246-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 9357124-0151) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |