Organization
THE NICK AND ALLEN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUBANAI KALOMBO (EXECUTIVE DIRECTOR)
(720) 317-0382
Entity
Organization
Contact information
Practice address
813 MAIN ST, LOUISVILLE, CO 80027-1831
(720) 317-0382
Mailing address
813 MAIN ST, LOUISVILLE, CO 80027-1831
(720) 317-0382
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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