Developmental Disabilities Center
Day Training, Developmentally Disabled Services in Longmont, CO. Organization (NPI-2).
NPI number1104378868
StatusActive
Last updated in NPPESOct 28, 2016
Details
- NPI
- 1104378868
- Entity type
- Organization (NPI-2)
- Legal business name
- Developmental Disabilities Center
- Organization subpart
- No
- Enumeration date
- Oct 28, 2016
- Last updated
- Oct 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Other names
- Imagine (Doing Business As)
Practice location
1608 Otis DrLongmont, CO 80504-1765
Phone 303-834-9629
Mailing address
1400 Dixon AveLafayette, CO 80026-2790
Phone 303-665-7789 · Fax 303-665-2648
Authorized official
John Nevins
Cfo
3036657789
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