Organization
ALPINE AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON CRUM (BILLING COORDINATOR)
(719) 203-6903
Entity
Organization
Contact information
Practice address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919-3100
(719) 203-6903
Mailing address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919-3100
(719) 203-6903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
1546288
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
1546288
CO
Other
Enumeration date
09/13/2007
Last updated
01/31/2022
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