| NPI | 1487329249 |
|---|---|
| Doing Business As | KAAUM - PUEBLO |
| Entity Type | Organization |
| Authorized Contact | JAMES MOORE Chief Executive Officer 719-396-3008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2022-11-22 |