Southeastern Developmental Services, INC

NPI #1003354465 in Lamar, Colorado

Provider Information

NPI Number: 1003354465
Entity Type: Organization
Organization Name: Southeastern Developmental Services, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 1111 S 4TH STREET
City: Lamar
State: Colorado
ZIP Code: 81052-3804
Phone: (719) 336-3244

Authorized Official

Name: KIMBERLY ENGSBERG
Title: EXECUTIVE DIRECTOR
Phone: (719) 336-3244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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