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Organization
CARMEL COMMUNITY LIVING CORPORATION
Active
Organization
CARMEL COMMUNITY LIVING CORPORATION
Active
Other names
Overture
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ORDWAY MS (CHIEF DEVELOPMENT OFFICER)
(720) 496-2605
Entity
Organization
Contact information
Practice address
1110 BOSTON AVE, LONGMONT, CO 80501-5882
(720) 496-2605
(720) 458-1665
Mailing address
11177 W 8TH AVE, LAKEWOOD, CO 80215-5575
(720) 796-2605
(720) 458-1665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
247200000X
Other Technician
—
NULL
247200000X
Other Technician
—
—
Other
Enumeration date
12/08/2017
Last updated
01/08/2018
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