OrganizationActive
Southeastern Developmental Services, Inc
NPI 1477091833 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lamar, CO
Provider details
- NPI number
- 1477091833
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Engsberg, Executive Director(719) 336-3244
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 South 12th Street
Lamar, CO 81052-3804
Phone: (719) 336-3244
Fax: (719) 336-3898
Street-level locationGet directions
Mailing address
P.o. Box 328
Lamar, CO 81052-3804
Other names (DBA / former)
- Doing business as
- 12th Street
Registry dates
- Enumerated
- 2017-02-06
- Last updated
- 2017-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.