Organization
PEOPLE CENTERED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANISH GAUR MA (EXECUTIVE DIRECTOR)
(303) 651-6769
Entity
Organization
Contact information
Practice address
2919 17TH AVE STE 110, LONGMONT, CO 80503-1657
(303) 651-6769
Mailing address
2919 17TH AVE STE 110, LONGMONT, CO 80503-1657
(303) 651-6769
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
CU00010507
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42907870
—
NM
Enumeration date
02/15/2011
Last updated
06/10/2022
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