Organization
WELLSPRING COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU FENTON (EXECUTIVE DIRECTOR)
(303) 660-1935
Entity
Organization
Contact information
Practice address
826 PARK ST, SUITE 200, CASTLE ROCK, CO 80109-1526
(303) 660-1935
Mailing address
826 PARK ST, SUITE 200, CASTLE ROCK, CO 80109-1526
(303) 660-1935
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
10/07/2016
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