Organization
PEAK SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONA R. O'CONNOR (EXECUTIVE DIRECTOR)
(720) 608-0264
Entity
Organization
Contact information
Practice address
16898 E CRESTLINE PL, CENTENNIAL, CO 80015-4007
(720) 608-0264
Mailing address
16898 E CRESTLINE PL, CENTENNIAL, CO 80015-4007
(720) 608-0264
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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