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 |