NPI 1932876224
Developmental Disabilities Center
Practice location
- Address
- 435 Manhattan Dr, Boulder, CO 80303-4104
- 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
Registry record
- NPI
- 1932876224
- Entity type
- Organization
- NPI issued
- 25 Aug 2021
- Record last updated
- 25 Aug 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.