Organization
BLUE PEAKS DEVELOPMENTAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA M KINSEY (FINANCE DIRECTOR)
(719) 589-5135
Entity
Organization
Contact information
Practice address
703 4TH ST, ALAMOSA, CO 81101-2524
(719) 589-5135
(719) 589-0680
Mailing address
703 4TH ST, ALAMOSA, CO 81101-2524
(719) 589-5135
(719) 589-0680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0002607
CO
235Z00000X
Speech-Language Pathologist
SLP.0000912
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31622755
—
CO
Enumeration date
02/27/2017
Last updated
02/27/2017
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