# BRIDGE TO AWARENESS COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962647685
- **Authorized official:** MR. STEVE DARR (DIRECTOR)
- **Authorized official phone:** (719) 471-2514

## Contact information

- **Practice address:** 310 W C ST, PUEBLO, CO 81003-3409
- **Practice address phone:** (719) 296-1366
- **Practice address fax:** (719) 296-6825
- **Mailing address:** 310 W C ST, PUEBLO, CO 81003-3409
- **Mailing address phone:** (719) 296-1366
- **Mailing address fax:** (719) 296-6825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1110-02 | CO | Yes |
| 251S00000X | Community/Behavioral Health Agency | 1110-02 | CO | — |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 12/09/2008