Organization
COMMUNITY RESIDENTIAL & RESPITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA YAEGER LPC (OWNER/DIRECTOR)
(719) 546-6322
Entity
Organization
Contact information
Practice address
221 S UNION AVE, PUEBLO, CO 81003-3490
(719) 546-6322
(719) 546-6154
Mailing address
221 S UNION AVE, PUEBLO, CO 81003-3490
(719) 546-6322
(719) 546-6154
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
04/05/2022
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