Martin House

NPI #1093929465 in Burlington, Colorado

Provider Information

NPI Number: 1093929465
Entity Type: Organization
Organization Name: Martin House
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 567 18TH ST
City: Burlington
State: Colorado
ZIP Code: 80807-1521
Phone: (719) 346-5367

Authorized Official

Name: CHERYL REESE
Title: EXECUTIVE DIRECTOR
Phone: (719) 346-5367

Specialties & Taxonomy Codes

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

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