El Pueblo Boys' and Girls' Ranch, Inc.

NPI #1992858344 in Pueblo, Colorado

Provider Information

NPI Number: 1992858344
Entity Type: Organization
Organization Name: El Pueblo Boys' and Girls' Ranch, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jan 19, 2007
Last Updated: Mar 4, 2016

Practice Location

Address: 1 EL PUEBLO RANCH WAY
City: Pueblo
State: Colorado
ZIP Code: 81006
Phone: (719) 544-7496

Authorized Official

Name: MR. TIM NICHOLS
Title: PRESIDENT AND CEO
Phone: (719) 404-1131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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