Pueblo Regional Center

NPI #1184163602 in Pueblo, Colorado

Provider Information

NPI Number: 1184163602
Entity Type: Organization
Organization Name: Pueblo Regional Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 16, 2017
Last Updated: Feb 22, 2024

Practice Location

Address: 183 S WIGGINS DR
City: Pueblo
State: Colorado
ZIP Code: 81007-1614
Phone: (719) 585-4001

Authorized Official

Name: MR. ELIZABETH BOWMAN
Title: DIRECTOR
Phone: (719) 585-4042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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Organizations

Provider Name	Specialty	City
Pueblo Regional Center	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Pueblo	AI Deep Dive

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