| NPI | 1932393980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLDA LYNETTE CROW Director Of Operations 719-785-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 26542) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2017-02-01 |