Organization
SMITH STREET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE LEE REHNER (DIRECTOR)
(970) 484-8250
Entity
Organization
Contact information
Practice address
308 SMITH ST., FORT COLLINS, CO 80524
(970) 484-8250
Mailing address
310 SMITH ST, FORT COLLINS, CO 80524-2940
(970) 484-8250
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
96702834
CO
Other
Enumeration date
06/14/2016
Last updated
10/20/2016
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