Organization
SUMMIT SUPPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASIA MAXWELL (EXECUTIVE DIRECTOR)
(303) 562-6227
Entity
Organization
Contact information
Practice address
735 CRISTO LN, LAFAYETTE, CO 80026-1734
(303) 562-6227
Mailing address
735 CRISTO LN, LAFAYETTE, CO 80026-1734
(303) 562-6227
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/01/2020
Last updated
10/28/2020
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