EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY
NPI 1992858344
Residential Treatment Facility, Emotionally Disturbed Children in Pueblo, CO

Active since January 19, 2007
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006(719) 544-7496(719) 544-7705 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Residential Treatment Facility, Emotiona...

About EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY

This page provides the complete NPI Profile along with additional information for El Pueblo...an Adolescent Treatment Community, a provider established in Pueblo, Colorado operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1992858344 assigned on January 2007. The practitioner's primary taxonomy code is 322D00000X with license number 45146 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as El Pueblo...an Adolescent Treatment Community. The authorized official of this NPI record is Mr. Tim Nichols (President And Ceo)

NPI
1992858344 Verify this NPI
Provider Legal Name
EL PUEBLO BOYS' AND GIRLS' RANCH, INC.
Other Organization Name
EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 EL PUEBLO RANCH WAY PUEBLO, CO 81006
Location Phone
(719) 544-7496
Location Fax
(719) 544-7705
Mailing Address
1 EL PUEBLO RANCH WAY PUEBLO, CO 81006
Mailing Phone
(719) 544-7496
Mailing Fax
(719) 544-7705
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2007
Last Update Date
03-04-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
45146
License State
CO
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TIM NICHOLS

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(719) 404-1131

Reviews for EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Mental Health)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Mental Health)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Professional)
1 EL PUEBLO RANCH WAY, ERICA PRUETT/WATTS, FINANCE OFFICE
PUEBLO, CO 81006
Social Worker (Clinical)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Mental Health)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Social Worker
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Residential Treatment Facility, Emotionally Disturbed Children
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Mental Health)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Professional)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Mental Health)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Professional)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Professional)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Counselor (Professional)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Social Worker
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Registered Nurse
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Registered Nurse
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Social Worker (Clinical)
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992858344, enumerated as an "organization" on January 19, 2007.

The provider is located at 1 EL PUEBLO RANCH WAY PUEBLO, CO 81006 and the phone number is (719) 544-7496.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.