Provider Demographics
NPI:1003247370
Name:AMERICAN COUNCIL FOR TH EBLIND AND VISUALLY IMPAIRED OF COLORADO ACBCO
Entity Type:Organization
Organization Name:AMERICAN COUNCIL FOR TH EBLIND AND VISUALLY IMPAIRED OF COLORADO ACBCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-831-0117
Mailing Address - Street 1:910 16TH ST STE 1240
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2915
Mailing Address - Country:US
Mailing Address - Phone:303-831-0117
Mailing Address - Fax:303-454-3378
Practice Address - Street 1:910 16TH ST STE 1240
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-2915
Practice Address - Country:US
Practice Address - Phone:303-831-0117
Practice Address - Fax:303-454-3378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003757225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty