Organization
ABA TOTAL CARE CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN KESHERIM (PRESIDENT)
(404) 400-5004
Entity
Organization
Contact information
Practice address
1624 BONFORTE BLVD STE 1624D4, PUEBLO, CO 81001-1679
(404) 400-5004
Mailing address
1624 BONFORTE BLVD STE 1624D4, PUEBLO, CO 81001-1679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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