# CARMEL COMMUNITY LIVING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407277882
- **Authorized official:** JENNIFER ORDWAY MSC (CHIEF DEVELOPMENT OFFICER)
- **Authorized official phone:** (720) 660-1844

## Contact information

- **Practice address:** 9299 EASTMAN PARK DR, WINDSOR, CO 80550-3318
- **Practice address phone:** (720) 496-2605
- **Practice address fax:** (720) 458-1665
- **Mailing address:** 9299 EASTMAN PARK DR, WINDSOR, CO 80550-3318
- **Mailing address phone:** (720) 496-2605
- **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 | 36450 | CO | Yes |
| 247200000X | Other Technician | — | NULL | — |
| 247200000X | Other Technician | — | — | — |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 03/17/2018