Developmental Disabilities Center
Case Management in Lafayette, CO. Organization (NPI-2).
NPI number1164052841
StatusActive
Last updated in NPPESJan 22, 2020
Details
- NPI
- 1164052841
- Entity type
- Organization (NPI-2)
- Legal business name
- Developmental Disabilities Center
- Organization subpart
- No
- Enumeration date
- Jan 22, 2020
- Certification date
- Jan 22, 2020
- Last updated
- Jan 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Other names
- Imagine (Doing Business As)
Practice location
1400 Dixon AveLafayette, CO 80026-2790
Phone 303-665-7789
Mailing address
1400 Dixon AveLafayette, CO 80026-2790
Phone 303-665-7789
Authorized official
John Nevins
Cfo
3036657789
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