Project Pueblo
NPI #1245513399 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1245513399
- Entity Type
- Organization
- Organization Name
- Project Pueblo
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 26, 2011
- Last Updated
- Sep 26, 2011
Practice Location
- Address
- 117 FAIRWAY VLG
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007-3621
- Phone
- (303) 908-8623
Authorized Official
- Name
- MR. EARL R POTEET, LCSW
- Title
- PRESIDENT
- Phone
- (303) 908-8623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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