DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CITIZENS FOR THE DEVELOPMENTALLY DISABLED, INC.

MEDICARE: CITIZENS FOR THE DEVELOPMENTALLY DISABLED, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency01135142000NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649311721
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITIZENS FOR THE DEVELOPMENTALLY DISABLED, INC.
Provider Business Mailing Address
First Line : PO BOX 1589
Second Line : 230 4TH AVE.
City : RATON
State : NM
Zip : 87740-1589
Country : US
Telephone Number : 505-445-5674
Fax Number : 505-445-8254
Provider Business Practice Location Address
First Line : 230 4TH AVE
Second Line :
City : RATON
State : NM
Zip : 87740-2643
Country : US
Telephone Number : 505-445-5674
Fax Number : 505-445-8254
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. BOBBY LEDOUX
Credential :
Telephone Number : 505-445-5674
Provider Enumeration Date : 02/09/2007
Last Update Date : 02/26/2008

Similar Medicare Providers

1104988153 — MR. MARK A. HENDLEY CASE MANAGER
Practice Location Address:
220 4TH AVE
RATON, NM
87740-2643
Practice Phone: 505-445-2754
Practice Fax: 505-445-2225
1124151808 — TAMAR RUBIN LPCC
Practice Location Address:
220 4TH AVE
RATON, NM
87740-2643
Practice Phone: 575-758-5857
Practice Fax: 575-758-5860
1114049673 — MS. SHANNON JOEL OTTO LMSW
Practice Location Address:
220 4TH AVE
RATON, NM
87740-2643
Practice Phone: 575-445-2754
Practice Fax: 575-445-2225
1396968343 — MS. MARLEEN ISABEL ALFORD CASE MANAGER
Practice Location Address:
220 4TH AVE
RATON, NM
87740-2643
Practice Phone: 505-445-2754
Practice Fax: 505-445-2225
1184847832 — MRS. ANDREA SHEREE NARANJO LMSW
Practice Location Address:
220 4TH AVE
RATON, NM
87740-2643
Practice Phone: 505-445-2754
Practice Fax:
1942417449 — MS. SYDNEY L. CHILTON LPC
Practice Location Address:
220 4TH AVE
RATON, NM
87740-2643
Practice Phone: 505-445-2754
Practice Fax: 505-445-2225

Directions to “CITIZENS FOR THE DEVELOPMENTALLY DISABLED, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.