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Organization

COMPREHENSIVE COMMUNITY BASED SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS ROBERT DECILLA ED.D. (EXECUTIVE DIRECTOR)
(303) 671-6042
Entity
Organization

Contact information

Practice address
8668 E DOANE PL, DENVER, CO 80231-4544
(303) 671-6042
(303) 671-7655
Mailing address
8668 E DOANE PL, DENVER, CO 80231-4544
(303) 671-6042
(303) 671-7655

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90373081
CO
Enumeration date
11/07/2006
Last updated
08/22/2020
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