Mike's Place LLC

NPI #1043818719 in Carbondale, Colorado

Provider Information

NPI Number
1043818719
Entity Type
Organization
Organization Name
Mike's Place LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Oct 14, 2020
Last Updated
Oct 14, 2020

Practice Location

Address
325 GARFIELD AVENUE
ZIP Code
81623
Phone
(970) 319-8496

Authorized Official

Name
REBECCA L YOUNG
Title
DIRECTOR
Phone
(970) 319-8496

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services
Community/Behavioral Health
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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