COLORADO DEPARTMENT OF CORRECTIONS

NPI # 

Practice Address:

1401 W 17Th St

Pueblo, CO, 81003-1929

Practice Phone:

719-583-5851

Practice Fax:

719-583-5852

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Prison Health

Taxonomy Code:

261QP2400X