Organization
PERSONS IN PROGRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ANN GODGES (CEO)
(949) 257-6810
Entity
Organization
Contact information
Practice address
1204 W STUART ST APT 174, FORT COLLINS, CO 80526-5646
(949) 257-6810
Mailing address
1204 W STUART ST APT 174, FORT COLLINS, CO 80526-5646
(949) 257-6810
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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