| NPI | 1881913952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY KENNEDY Owner 720-317-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CO 1539) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |