STATE OF COLORADO

PUEBLO, CO
NPI1144352550
Other NamePSYCHIATRIC HOSPITAL
Entity TypeOrganization
Authorized ContactKAT FOO
Hipaa Officer
303-866-5871
Organization Subpart ?Yes
Primary Taxonomy283Q00000X Psychiatric Hospital
(Licence: CO  0236)
Enumeration Date2007-03-12
Last Update Date2010-11-16
Business Address
STATE OF COLORADO
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4000
Mailing Address
STATE OF COLORADO
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4000