Organization
ACTIVE COMMUNITY ACCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BRAUN MS (DIRECTOR)
(720) 988-9827
Entity
Organization
Contact information
Practice address
6841 S YOSEMITE ST, CENTENNIAL, CO 80112-1434
(720) 988-9827
Mailing address
PO BOX 24327, DENVER, CO 80224-0327
(720) 988-9827
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85952346
—
CO
Enumeration date
06/07/2016
Last updated
06/07/2016
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