Organization
EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI SCHRADE (FINANCE DIRECTOR)
(970) 522-7121
Entity
Organization
Contact information
Practice address
617 S 10TH AVE, STERLING, CO 80751-3426
(970) 522-7121
(970) 522-1173
Mailing address
617 S 10TH AVE, P. O. BOX 1682, STERLING, CO 80751-3426
(970) 522-7121
(970) 522-1173
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26454726
—
CO
Enumeration date
04/03/2007
Last updated
05/13/2021
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