Southern Colorado Developmental Disabilities Services, INC

NPI #1982142188 in Trinidad, Colorado

Provider Information

NPI Number: 1982142188
Entity Type: Organization
Organization Name: Southern Colorado Developmental Disabilities Services, INC
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Feb 8, 2017
Last Updated: Jan 9, 2020

Practice Location

Address: 415 S INDIANA AVE
City: Trinidad
State: Colorado
ZIP Code: 81082
Phone: (719) 846-4400

Authorized Official

Name: MR. DUANE ROY
Title: EXECUTIVE DIRECTOR
Phone: (719) 846-3391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Physical Medicine & Rehabilitation	208100000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Case Management	251B00000X
Early Intervention Provider Agency	252Y00000X	Primary

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