Whalio Doctors

NPI 1013534015

Ithrive Support Services 'LLC'

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Commerce City, CO

Practice location

Address
17381 E 95th Ave, Commerce City, CO 80022-7223
Phone
(732) 895-1130

Authorised official

Name
Grace Nayo
Title
Director
Phone
(732) 895-1130

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

Registry record

NPI
1013534015
Entity type
Organization
NPI issued
25 Jun 2020
Record last updated
17 May 2022

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.