NPI 1649718461
Southeastern Developmental Services, INC
Practice location
- Address
- 501 S First 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
Registry record
- NPI
- 1649718461
- Entity type
- Organization
- NPI issued
- 1 Feb 2017
- Record last updated
- 1 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.