NPI 1487935144

Southern Colorado Comprehensive Court Services

Organisation Substance Abuse Rehabilitation Facility Pueblo, CO

Practice location

Address: 200 W B St STE 226, Pueblo, CO 81003-3574
Phone: (719) 595-1634
Fax: (719) 595-1643

Authorised official

Name: Bradley James Rusovick
Title: Director
Phone: (719) 334-1010

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 139100 (CO)

Other Substance Abuse Rehabilitation Facility providers in Colorado →

Registry record

NPI: 1487935144
Entity type: Organization
NPI issued: 7 Sep 2011
Record last updated: 7 Sep 2011

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.