Organization
SPECTRA HUMAN SERVICES, INC.
Active
Other names
Spectrum
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HERNANDEZ M.S. (DIRECTOR)
(303) 986-1001
Entity
Organization
Contact information
Practice address
3333 S WADSWORTH BLVD, D231, LAKEWOOD, CO 80227-5122
(303) 462-4358
(303) 232-4601
Mailing address
3333 S WADSWORTH BLVD, D231, LAKEWOOD, CO 80227-5122
(303) 462-4358
(303) 232-4601
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
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25776061
—
CO
Enumeration date
11/01/2015
Last updated
12/26/2019
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