| NPI | 1912264573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ORNOWSKI HILDEBRAND Founder 970-219-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 20121130241) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |