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Organization
CHESTOR HOUSE, INC.
Active
Organization
CHESTOR HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SPENCER (EXECUTIVE DIRECTOR)
(303) 926-8840
Entity
Organization
Contact information
Practice address
1831 BOSTON AVE, SUITE 100, LONGMONT, CO 80501-8021
(303) 926-8840
Mailing address
1831 BOSTON AVE, SUITE 100, LONGMONT, CO 80501-8021
(303) 926-8840
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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