| NPI | 1891401048 |
|---|---|
| Other Name | CASTLE ROCK |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Director Of Revenue 844-969-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-11-07 |