| NPI | 1912232349 |
|---|---|
| Doing Business As | CONVENIENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KAREN L BRYANT Chief Operating Officer 719-336-5147 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2010-06-02 |