NPI | 1992858344 |
---|---|
Doing Business As | EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY |
Entity Type | Organization |
Authorized Contact | TIM NICHOLS President And CEO 719-404-1131 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 45146) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2016-03-04 |