NPI 1568801017

Collins Lake Autism Center

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Cleveland, NM

Practice location

Address: 246 Encinal Road, Cleveland, NM 87715
Phone: (281) 630-0827
Mailing address: 710 Gildersleeve St, Santa Fe, NM 87505-2636

Authorised official

Name: Stephen Andrew Smaby
Title: Founder
Phone: (281) 630-0827

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 New Mexico →

Registry record

NPI: 1568801017
Entity type: Organization
NPI issued: 18 Jun 2013
Record last updated: 18 Jun 2013

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.