Organization
SPECIAL HEROES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BARRETT (EXECUTIVE DIRECTOR)
(970) 402-5101
Entity
Organization
Contact information
Practice address
413 JUNCO CT, FORT COLLINS, CO 80526-2822
(970) 402-5101
Mailing address
413 JUNCO CT, FORT COLLINS, CO 80526-2822
(970) 402-5101
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
07/28/2023
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