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Organization

ACTIVE COMMUNITY ENRICHMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN RABON (CEO)
(720) 470-1888
Entity
Organization

Contact information

Practice address
1007 TIMBER LN, FORT COLLINS, CO 80521-4152
(720) 470-1888
Mailing address
1007 TIMBER LN, FORT COLLINS, CO 80521-4152

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
CO

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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