Envision Creative Support for People With Developmental Disabilities

NPI #1912394396 in Evans, Colorado

Provider Information

NPI Number: 1912394396
Entity Type: Organization
Organization Name: Envision Creative Support for People With Developmental Disabilities
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Apr 23, 2015
Last Updated: Apr 23, 2015

Practice Location

Address: 1050 37TH ST
City: Evans
State: Colorado
ZIP Code: 80620-2115
Phone: (970) 339-5360

Authorized Official

Name: MARY LU WALTON
Title: EXECUTIVE DIRECTOR
Phone: (970) 339-5360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X	Primary

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