| NPI | 1902500556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY SCOTT KEEL Medical Director 719-362-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2025-08-18 |