Organization
UNITED VISIONARY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D YOUNG SR. (OWNER)
(720) 569-1079
Entity
Organization
Contact information
Practice address
11147 COLUMBINE CT, NORTHGLENN, CO 80233-4641
(720) 569-1079
Mailing address
11147 COLUMBINE CT, NORTHGLENN, CO 80233-4641
(720) 569-1079
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
03/07/2023
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