NPI 1316149685

Center for Disabilities

Organisation Case Management Agency Pueblo, CO

Practice location

Address: 1304 Berkley Ave, Pueblo, CO 81004-3002
Phone: (719) 546-1271
Fax: (719) 546-1374

Authorised official

Name: Lawrence L Williams
Title: Executive Director
Phone: (719) 546-1271

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 9809485 (CO)

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Registry record

NPI: 1316149685
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 16 Jan 2009

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.