| NPI | 1932366218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE DOLORES FLOREZ Licensed Clinical Social Worker 719-205-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 989604) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |