DEVELOPMENTAL DISABILITIES CENTER NPI 1508086794

NPI Information

NPI: 1508086794
Provider Name: DEVELOPMENTAL DISABILITIES CENTER

Doing Business As: IMAGINE

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1400 DIXON AVE
LAFAYETTE, CO
ZIP 80026
Phone: (303) 665-7789
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DEVELOPMENTAL DISABILITIES CENTER is an adult mental health clinic center in Lafayette, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DEVELOPMENTAL DISABILITIES CENTER NPI is 1508086794. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Imagine.

The provider's business location address is:

1400 DIXON AVE
LAFAYETTE, CO
ZIP 80026-790
Phone: (303) 665-7789
Fax: (303) 665-2648

The provider's authorized official is Robin Grey .
The authorized official title is Cfo and has the following contact phone number (303) 641-6342.

The enumeration date for this NPI number is 4/27/2007 and was last updated on 3/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103K00000X	Behavior Analyst		No
2	251C00000X	Day Training, Developmentally Disabled Services		No
3	252Y00000X	Early Intervention Provider Agency		No
4	261QM0850X	Clinic/Center	Adult Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30870216	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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