Organization
DAISY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TELICIA SLADE (ASSISTANT DIRECTOR)
(970) 243-3304
Entity
Organization
Contact information
Practice address
643 27 1/2 RD, GRAND JUNCTION, CO 81506-4183
(970) 243-3304
Mailing address
643 27 1/2 RD, GRAND JUNCTION, CO 81506-4183
(970) 243-3304
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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