Eatin Therapeutic Center

NPI #1174815617 in Eaton, Colorado

Provider Information

NPI Number: 1174815617
Entity Type: Organization
Organization Name: Eatin Therapeutic Center
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 123 ELM AVE
City: Eaton
State: Colorado
ZIP Code: 80615-3425
Phone: (970) 454-2224

Authorized Official

Name: MRS. DOROTHY MONGAN
Title: PRESIDENT
Phone: (970) 454-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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