| NPI | 1902398001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN E PHILLIPS Director/Co Owner 720-280-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: CO 09925305) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-10-31 |