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Collins Lake Autism Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cleveland, New Mexico
NPI 1568801017

Collins Lake Autism Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Santa Fe, NM. Collins Lake Autism Center practices in Cleveland, NM. The NPI Number for Collins Lake Autism Center is 1568801017 and holds a License No. (New Mexico).

The current practice location address for Collins Lake Autism Center is 246 Encinal Road, Cleveland, NM and can be reached out via phone at 281-630-0827.

Location: 246 Encinal Road, Cleveland, NM, 87505-2636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568801017
Provider Name
Collins Lake Autism Center
Credential
Provider Entity Type
Organization
Address
246 Encinal Road, Cleveland, NM, 87505-2636
Phone Number
281-630-0827
Fax Number
Provider Enumeration Date
06/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
246 Encinal Road
City
Cleveland
State
New Mexico
Zip
87715
Phone Number
281-630-0827
Fax Number
person
Provider Business Mailing Address Details
Address
246 Encinal Road
City
Cleveland
State
New Mexico
Zip
87715
Phone Number
281-630-0827
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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