Developmental Disabilities Center
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Longmont, CO. Organization (NPI-2).
NPI number1013684208
StatusActive
Last updated in NPPESOct 19, 2023
Details
- NPI
- 1013684208
- Entity type
- Organization (NPI-2)
- Legal business name
- Developmental Disabilities Center
- Organization subpart
- No
- Enumeration date
- Aug 25, 2021
- Certification date
- Oct 19, 2023
- Last updated
- Oct 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
1608 Otis DrLongmont, CO 80504-1765
Phone 303-665-7789
Mailing address
1400 Dixon AveLafayette, CO 80026-2790
Phone 303-665-7789
Authorized official
Robin Grey
Cfo
3036416342
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