COLLINS LAKE AUTISM CENTER – NPI #1568801017
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

COLLINS LAKE AUTISM CENTER is a community based residential treatment facility located in CLEVELAND, NM. NPPES has assigned the NPI number 1568801017 to COLLINS LAKE AUTISM CENTER on June 18, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLLINS LAKE AUTISM CENTER below.

NPI Profile for
COLLINS LAKE AUTISM CENTER

NPI Number
1568801017
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLLINS LAKE AUTISM CENTER
Primary location
246 ENCINAL ROAD
CLEVELAND, NM 87715
Phone: (281) 630-0827 Fax:
Mailing address
710 GILDERSLEEVE ST
SANTA FE, NM 87505-2636
Phone: (281) 630-0827 Fax:
Organization Subpart
No
Authorized Official
STEPHEN SMABY
FOUNDER
Phone: (281) 630-0827
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.