Organization
FRONTIER FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL E. GATES (ASST. DIRECTOR)
(303) 702-0952
Entity
Organization
Contact information
Practice address
1290 BOSTON AVE, LONGMONT, CO 80501-1707
(303) 702-0952
(303) 702-0956
Mailing address
1290 BOSTON AVE, LONGMONT, CO 80501-1707
(303) 702-0952
(303) 702-0956
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
38041
CO
251C00000X
Developmentally Disabled Services Day Training Agency
38041
CO
251S00000X
Community/Behavioral Health Agency
38041
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90101758
—
CO
Enumeration date
01/16/2008
Last updated
02/07/2008
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