Organization
DEVELOPMENTAL DISABILITIES CENTER
Active
Other names
Imagine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NEVINS (CFO)
(303) 665-7789
Entity
Organization
Contact information
Practice address
1400 DIXON AVE, LAFAYETTE, CO 80026-2790
(303) 665-7789
Mailing address
1400 DIXON AVE, LAFAYETTE, CO 80026-2790
(303) 665-7789
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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