Organization
C4C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE POLLAK (EXECUTIVE DIRECTOR)
(303) 229-2331
Entity
Organization
Contact information
Practice address
7087 S MADISON WAY, CENTENNIAL, CO 80122-1855
(303) 229-2331
Mailing address
7087 S MADISON WAY, CENTENNIAL, CO 80122-1855
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/30/2017
Last updated
04/26/2022
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