Organization
AUTISM ADVOCATES OF SOUTHERN COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI MARTINEZ MAGALLANES (OWNER)
(719) 924-4356
Entity
Organization
Contact information
Practice address
954 S HARMONY LN, PUEBLO WEST, CO 81007-2646
(719) 924-4356
Mailing address
954 S HARMONY LN, PUEBLO WEST, CO 81007-2646
(719) 924-4356
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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