# EL PUEBLO BOYS' AND GIRLS' RANCH, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** El Pueblo...an Adolescent Treatment Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992858344
- **Authorized official:** MR. TIM NICHOLS (PRESIDENT AND CEO)
- **Authorized official phone:** (719) 404-1131

## Contact information

- **Practice address:** 1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006
- **Practice address phone:** (719) 544-7496
- **Practice address fax:** (719) 544-7705
- **Mailing address:** 1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006
- **Mailing address phone:** (719) 544-7496
- **Mailing address fax:** (719) 544-7705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 45146 | CO | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 03/04/2016