NPI 1184163602
Pueblo Regional Center
Practice location
- Address
- 183 S Wiggins Dr, Pueblo, CO 81007-1614
- Phone
- (719) 585-4001
- Fax
- (719) 585-4030
- Mailing address
- 270 W John Powell Blvd, Pueblo, CO 81007-1775
Authorised official
- Name
- Elizabeth Bowman
- Title
- Director
- Phone
- (719) 585-4042
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1184163602
- Entity type
- Organization
- NPI issued
- 16 Feb 2017
- Record last updated
- 22 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.