Organization
EL PUEBLO BOYS' AND GIRLS' RANCH, INC.
Active
Other names
El Pueblo...an Adolescent Treatment Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM NICHOLS (PRESIDENT AND CEO)
(719) 404-1131
Entity
Organization
Contact information
Practice address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006
(719) 544-7496
(719) 544-7705
Mailing address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006
(719) 544-7496
(719) 544-7705
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
45146
CO
Other
Enumeration date
01/19/2007
Last updated
03/04/2016
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