| NPI | 1982425674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY PHILLIPS Billing & Finance Lead 303-315-6176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |