Organization
PUEBLO REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIZABETH BOWMAN (DIRECTOR)
(719) 585-4042
Entity
Organization
Contact information
Practice address
183 S WIGGINS DR, PUEBLO, CO 81007-1614
(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
02/22/2024
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