NPI 1033888235

Developmental Disabilities Center

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

Practice location

Address: 1806 Iris Ave, Boulder, CO 80304-2235
Phone: (303) 665-7789
Mailing address: 1400 Dixon Ave, Lafayette, CO 80026-2790

Authorised official

Name: Lisa Joseph
Title: Accountant
Phone: (303) 926-6407

Registered specialties

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 →

Registry record

NPI: 1033888235
Entity type: Organization
NPI issued: 10 Sep 2021
Record last updated: 10 Sep 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.