Provider Demographics
NPI:1154628964
Name:PEOPLE CENTERED SERVICES
Entity Type:Organization
Organization Name:PEOPLE CENTERED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUR
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:303-651-6769
Mailing Address - Street 1:2919 17TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-1657
Mailing Address - Country:US
Mailing Address - Phone:303-651-6769
Mailing Address - Fax:
Practice Address - Street 1:2919 17TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-1657
Practice Address - Country:US
Practice Address - Phone:303-651-6769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCU00010507251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM42907870Medicaid