| NPI | 1891396990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L BOYER Director Of Operations 970-663-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2025-01-30 |