NPI | 1982308045 |
---|---|
Other Name | CORTEZ LOCATION |
Entity Type | Organization |
Authorized Contact | VICKY UBELL Credentialing / Billing 970-615-0076 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2023-03-30 |
Last Update Date | 2023-03-30 |