Organization
PLAYDATE, INC
Active
Other names
PlayDate Behavioral Intervention
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARIE NULK (EXECUTIVE DIRECTOR)
(719) 465-3989
Entity
Organization
Contact information
Practice address
6050 ERIN PARK DR, COLORADO SPRINGS, CO 80918-3488
(719) 465-3989
Mailing address
6050 ERIN PARK DR, COLORADO SPRINGS, CO 80918-3488
(719) 465-3989
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
03/22/2023
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