| NPI | 1972683035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DAVIS BOOK President 719-359-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 42508) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-10-23 |