| NPI | 1922314764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SUE GLENN Registered Nurse 970-491-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO RN-114168) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |