NPI 1013175264

Developmental Opportunities

Organisation Case Management Agency Canon City, CO

Practice location

Address: 700 S 8th Street, Canon City, CO 81212-4904
Phone: (719) 275-1616
Fax: (719) 275-4619
Mailing address: PO Box 2080 700 S 8th Street, Canon City, CO 81215-2080

Authorised official

Name: Bryana Jo Marsicano
Title: Ceo
Phone: (719) 269-2213

Registered specialties (4)

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 95138340 (CO)

Other Case Management providers in Colorado →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Colorado →

Registry record

NPI: 1013175264
Entity type: Organization
NPI issued: 23 May 2008
Record last updated: 13 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.