| NPI | 1962537761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE RL TALBERT Billing And Training Coordinator 303-865-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-05-20 |