Collins Lake Autism Center
NPI #1568801017 in Cleveland, New Mexico
Provider Information
- NPI Number
- 1568801017
- Entity Type
- Organization
- Organization Name
- Collins Lake Autism Center
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 18, 2013
- Last Updated
- Jun 18, 2013
Practice Location
- Address
- 246 ENCINAL ROAD
- City
- Cleveland
- State
- New Mexico
- ZIP Code
- 87715
- Phone
- (281) 630-0827
Authorized Official
- Name
- STEPHEN ANDREW SMABY
- Title
- FOUNDER
- Phone
- (281) 630-0827
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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