| Newpath Behavioral Rehabilitation Center | |
|
128 S Union Ave Suite C Pueblo CO 81003-3443 | |
| (719) 543-6988 | |
| (719) 542-1290 |
| Full Name | Newpath Behavioral Rehabilitation Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 128 S Union Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Salvador Cruz (PHYSICIAN) |
| Authorized Official Contact | 7195436988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newpath Behavioral Rehabilitation Center Po Box 568 Pueblo CO 81002-0568 Ph: (719) 296-5840 | Newpath Behavioral Rehabilitation Center 128 S Union Ave Suite C Pueblo CO 81003-3443 Ph: (719) 543-6988 |
| NPI Number | 1740409812 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740409812 | NPI | - | NPPES |
| CR19308 | Other | BCBS | |
| 01234038 | Medicaid | CO | |
| DB7127 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 23403 (Colorado) | Primary |
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