Organization
ACTIVE BELIEF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER J LYLE (OWNER)
(720) 988-3239
Entity
Organization
Contact information
Practice address
18375 W 59TH DR, GOLDEN, CO 80403-1064
(720) 988-3239
Mailing address
18375 W 59TH DR, GOLDEN, CO 80403-1064
(720) 988-3239
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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