Organization
PHASE ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRABIN RISAL (CEO)
(303) 518-2142
Entity
Organization
Contact information
Practice address
1560 S QUEBEC WAY, # 55, DENVER, CO 80231-5681
(303) 518-2142
Mailing address
1560 S QUEBEC WAY, # 55, DENVER, CO 80231-5681
(303) 518-2142
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
NA
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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