Organization Name: | LA MAR CHILD PLACEMNT AGENCY |
NPI Number: | 1447692876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS LEE TAYLOR (DIRECTOR) |
Mailing Address: | 5315 Hicks Dr Colorado Springs |
State: | CO US |
Postal Code: | 809113615 |
Phone Number: | 7193915093 |
Fax Number: | 7193922541 |
NPI Enumeration Date: | 07/26/2013 |
NPI Last Update Date: | 07/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 1628285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |