Organization
INTERMOUNTAIN COMMUNITY SUPPORT AND SERVICES, LLC
Active
Other names
ICSS
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ROBERT LANG (CO-OWNER)
(303) 885-3299
Entity
Organization
Contact information
Practice address
12818 NEWPORT WAY, THORNTON, CO 80602-6955
(303) 885-3299
(720) 242-9089
Mailing address
12818 NEWPORT WAY, THORNTON, CO 80602-6955
(303) 885-3299
(720) 242-9089
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CO
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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