Organization
COMMUNITY RESIDENTIAL & RESPITE, LLC
Active
Parent organization
COMMUNITY RESIDENTIAL & RESPITE, LLC
Other names
CREATE Art Studios
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY RESIDENTIAL & RESPITE, LLC
Authorized official
BARBARA J.H. YAEGER LPC (OWNER/DIRECTOR)
(719) 546-6322
Entity
Organization
Contact information
Practice address
1640 E 4TH ST, PUEBLO, CO 81001-4108
(719) 545-2228
(719) 545-2229
Mailing address
221 S UNION AVE, PUEBLO, CO 81003-3490
(719) 546-6322
(719) 546-6154
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90839056
—
CO
Enumeration date
07/22/2016
Last updated
07/22/2016
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