Individual provider · Type 1 NPI
Suzette Butler
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pueblo, CO
Practice location
311 W 24th St Ste 2
Pueblo, CO 81003-2471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Respite Care | 385H00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Pueblo
- Barbara A. Gonzales, OWNERIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pueblo, CO NPI 1215642566
- Raul DelgadoIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pueblo, CO NPI 1699565309
- Mike JordanIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pueblo, CO NPI 1790153039
About NPI 1174102974
Suzette Butler's National Provider Identifier is 1174102974, issued on Apr 7, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Pueblo, CO. The record was last updated on Apr 7, 2021.