| NPI | 1992302889 |
|---|---|
| Doing Business As | MARC PUEBLO SUD |
| Entity Type | Organization |
| Authorized Contact | JASON CHIPPEAUX President/CEO 719-545-2746 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2022-06-02 |