| NPI | 1982864757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C RISTOW President 970-385-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 46157) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2008-06-14 |