Organization
ASCENDIGO AUTISM SERVICES, INC.
Active
Other names
Extreme Sports Camp
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN MULLER (BUSINESS MANAGER)
(970) 927-3143
Entity
Organization
Contact information
Practice address
818 INDUSTRY WAY, CARBONDALE, CO 81623-2508
(970) 340-4922
Mailing address
PO BOX 10725, ASPEN, CO 81612-9780
(970) 340-4922
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10X839
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81933771
—
CO
Enumeration date
12/03/2015
Last updated
02/21/2017
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