Organization · Type 2 NPI
Collins Lake Autism Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cleveland, NM
Practice location
246 Encinal Road
Cleveland, NM 87715
Mailing address
710 Gildersleeve St
Santa Fe, NM 87505-2636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1568801017
Collins Lake Autism Center's National Provider Identifier is 1568801017, issued on Jun 18, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Cleveland, NM. The record was last updated on Jun 18, 2013.