Organization
PUEBLO REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J R DEMARIA PHD(C), LNHA (DIRECTOR)
(719) 747-5249
Entity
Organization
Contact information
Practice address
614 S CLARION DR, PUEBLO, CO 81007-1524
(719) 585-4001
(719) 585-4030
Mailing address
270 W JOHN POWELL BLVD, PUEBLO, CO 81007-1775
(719) 585-4001
(719) 585-4030
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
11/05/2025
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