| NPI | 1891861837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ALI KHEIRANDISH PISHKENARI Owner 303-691-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CO 56884311) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2021-05-12 |