| Centrepoint Support Living, Llc | |
|
6892 S Yosemite Ct # 1-101a Centennial CO 80112-1464 | |
| (303) 591-2185 | |
| Not Available |
| Full Name | Centrepoint Support Living, Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 6892 S Yosemite Ct # 1-101a, Centennial, Colorado |
| Authorized Official Name and Position | Terry R. Williams (PRESIDENT & CEO) |
| Authorized Official Contact | 3035912185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrepoint Support Living, Llc 6892 S Yosemite Ct # 1-101a Centennial CO 80112-1464 Ph: (303) 591-2185 | Centrepoint Support Living, Llc 6892 S Yosemite Ct # 1-101a Centennial CO 80112-1464 Ph: (303) 591-2185 |
| NPI Number | 1558728022 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 05/11/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558728022 | NPI | - | NPPES |
| 9000141253 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1798-00 (Colorado) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | 1653433 (Colorado) | Primary |
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