NPI | 1992072094 |
---|---|
Entity Type | Organization |
Authorized Contact | RICARDO ESPARZA Managing Partner 303-447-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CO 646) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2011-11-17 |