Chestor House, Inc.

NPI #1043403256 in Longmont, Colorado

Provider Information

NPI Number: 1043403256
Entity Type: Organization
Organization Name: Chestor House, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 1831 BOSTON AVE
Address 2: SUITE 100
City: Longmont
State: Colorado
ZIP Code: 80501-8021
Phone: (303) 926-8840

Authorized Official

Name: DEBBIE SPENCER
Title: EXECUTIVE DIRECTOR
Phone: (303) 926-8840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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