NPI 1013684208

Developmental Disabilities Center

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

Practice location

Address: 1608 Otis Dr, Longmont, CO 80504-1765
Phone: (303) 665-7789
Mailing address: 1400 Dixon Ave, Lafayette, CO 80026-2790

Authorised official

Name: Robin Grey
Title: Cfo
Phone: (303) 641-6342

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Colorado →

Registry record

NPI: 1013684208
Entity type: Organization
NPI issued: 25 Aug 2021
Record last updated: 19 Oct 2023

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.