Organization
BETHEL AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN MWADIAMBALA LUKATE (DIRECTOR)
(720) 288-3979
Entity
Organization
Contact information
Practice address
998 S ZENO WAY, AURORA, CO 80017-3329
(720) 288-3979
Mailing address
998 S ZENO WAY, AURORA, CO 80017-3329
(720) 288-3979
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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