| NPI | 1922502038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JOAN MARTINEZ Executive Director 719-474-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: CO 22126) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-06-16 |