Organization
CENTER FOR DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE L WILLIAMS D. MIN. (EXECUTIVE DIRECTOR)
(719) 546-1271
Entity
Organization
Contact information
Practice address
1304 BERKLEY AVE, PUEBLO, CO 81004-3002
(719) 546-1271
(719) 546-1374
Mailing address
1304 BERKLEY AVE, PUEBLO, CO 81004-3002
(719) 546-1271
(719) 546-1374
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
9809485
CO
Other
Enumeration date
05/31/2007
Last updated
01/16/2009
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