# CARMEL COMMUNITY LIVING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Overture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346755600
- **Authorized official:** JENNIFER ORDWAY MS (CHIEF DEVELOPMENT OFFICER)
- **Authorized official phone:** (720) 496-2605

## Contact information

- **Practice address:** 1110 BOSTON AVE, LONGMONT, CO 80501-5882
- **Practice address phone:** (720) 496-2605
- **Practice address fax:** (720) 458-1665
- **Mailing address:** 11177 W 8TH AVE, LAKEWOOD, CO 80215-5575
- **Mailing address phone:** (720) 796-2605
- **Mailing address fax:** (720) 458-1665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 247200000X | Other Technician | — | NULL | — |
| 247200000X | Other Technician | — | — | — |

## Other

- **Enumeration date:** 12/08/2017
- **Last updated:** 01/08/2018