# KIDZ ARK, INC

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

## Provider details

- **NPI number:** 1669593927
- **Authorized official:** MRS. JANA WELSH RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (970) 522-5775

## Contact information

- **Practice address:** 44132 WELD COUNTY ROAD 129, NEW RAYMER, CO 80742
- **Practice address phone:** (970) 437-5418
- **Mailing address:** PO BOX 1725, STERLING, CO 80751-1725
- **Mailing address phone:** (970) 522-5775
- **Mailing address fax:** (970) 522-5983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 34341 | CO | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01507257 | — | CO |
| 05 | — | 93803567 | — | CO |