Organization
CARMEL COMMUNITY LIVING CORPORATION
Active
Other names
Overture
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ORDWAY MS (CHIEF DEVELOPMENT OFFICER)
(720) 496-2605
Entity
Organization
Contact information
Practice address
1110 BOSTON AVE, LONGMONT, CO 80501-5882
(720) 496-2605
(720) 458-1665
Mailing address
11177 W 8TH AVE, LAKEWOOD, CO 80215-5575
(720) 796-2605
(720) 458-1665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
12/08/2017
Last updated
01/08/2018
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