Organization
EASTERN COLORADO SERVICES FOR THE DD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI SCHRADE (FINANCE DIRECTOR)
(970) 522-7121
Entity
Organization
Contact information
Practice address
617 S 10TH AVE, STERLING, CO 80751-3426
(970) 522-7121
(970) 522-1173
Mailing address
617 S 10TH AVE, STERLING, CO 80751-3426
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76708560
—
CO
Enumeration date
01/03/2014
Last updated
01/26/2025
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