Organization
DEVELOPMENTAL DISABILITIES CENTER
Active
Other names
Imagine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NEVINS (CFO)
(303) 665-7789
Entity
Organization
Contact information
Practice address
1665 COAL CREEK DR, LAFAYETTE, CO 80026-2784
(303) 665-7789
Mailing address
1400 DIXON AVE, LAFAYETTE, CO 80026-2790
(303) 665-7789
(303) 665-2648
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
01/24/2017
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