Provider Demographics
NPI:1912665258
Name:COLORADO FOUNDATION FOR CONDUCTIVE EDUCATION
Entity Type:Organization
Organization Name:COLORADO FOUNDATION FOR CONDUCTIVE EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JALYSS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPFLETTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-667-0348
Mailing Address - Street 1:PO BOX 746297
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80006-6297
Mailing Address - Country:US
Mailing Address - Phone:970-667-0348
Mailing Address - Fax:
Practice Address - Street 1:8250 W 80TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-5031
Practice Address - Country:US
Practice Address - Phone:507-301-7617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center