Organization
COMMUNITY SMART, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE OK HEE STAHULJAK BACHELOR OF SCIENCE (EXECUTIVE DIRECTOR)
(866) 236-2411
Entity
Organization
Contact information
Practice address
205 PHOEBUS DR, FLORISSANT, CO 80816-9509
(866) 236-2411
(866) 236-2411
Mailing address
PO BOX 7036, WOODLAND PARK, CO 80863-0036
(866) 236-2411
(866) 236-2411
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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