Whalio Doctors

NPI 1477091833

Southeastern Developmental Services, INC

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

Practice location

Address
500 South 12th Street, Lamar, CO 81052-3804
Phone
(719) 336-3244
Fax
(719) 336-3898
Mailing address
P.O. Box 328, Lamar, CO 81052-3804

Authorised official

Name
Kimberly Engsberg
Title
Executive Director
Phone
(719) 336-3244

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1477091833
Entity type
Organization
NPI issued
6 Feb 2017
Record last updated
6 Feb 2017

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.