Provider First Line Business Practice Location Address:
CENTENNIAL PEAKS HOSPITAL
Provider Second Line Business Practice Location Address:
2255 S 88TH ST
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-243-4154
Provider Business Practice Location Address Fax Number:
518-243-4170
Provider Enumeration Date:
10/12/2005