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Organization

DEVELOPMENTAL DISABILITIES CENTER

Active
Other names
Imagine
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NEVINS (CFO)
(303) 665-7789
Entity
Organization

Contact information

Practice address
435 MANHATTAN DR, BOULDER, CO 80303-4104
(303) 494-2553
Mailing address
1400 DIXON AVE, LAFAYETTE, CO 80026-2790
(303) 665-7789
(303) 665-2648

Taxonomy

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

Other

Enumeration date
10/28/2016
Last updated
10/28/2016
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