# COLORADO INSTITUTE OF DEVELOPMENTAL PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adam's Camp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386821742
- **Authorized official:** LAURA B JOHNSON (BILLING & FINANCE DIRECTOR)
- **Authorized official phone:** (303) 563-8290

## Contact information

- **Practice address:** 6767 S SPRUCE ST, SUITE 102, CENTENNIAL, CO 80112-1283
- **Practice address phone:** (303) 563-8290
- **Mailing address:** 6767 S SPRUCE ST, SUITE 102, CENTENNIAL, CO 80112-1283
- **Mailing address phone:** (303) 563-8290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 385H00000X | Respite Care | 1544516 | CO | — |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 03/30/2017