Community Residential & Respite, LLC

NPI #1285087445 in Pueblo, Colorado

Provider Information

NPI Number: 1285087445
Entity Type: Organization
Organization Name: Community Residential & Respite, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY RESIDENTIAL & RESPITE, LLC
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Jul 22, 2016
Last Updated: Jul 22, 2016

Practice Location

Address: 1640 E 4TH ST
City: Pueblo
State: Colorado
ZIP Code: 81001-4108
Phone: (719) 545-2228

Authorized Official

Name: BARBARA J.H. YAEGER, LPC
Title: OWNER/DIRECTOR
Phone: (719) 546-6322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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