Individual provider · Type 1 NPI

Michael Edward Leyba, MA, LPC, CACIII

Substance Abuse Rehabilitation Facility · Pueblo, CO

NPI number 1679876429 Active

Practice location

4 Montebello Rd.
Pueblo, CO 81001

Fax (719) 543-7764

Mailing address

513 E. 13th St.
Pueblo, CO 81001

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X506 (CO)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1679876429

Michael Edward Leyba, MA, LPC, CACIII's National Provider Identifier is 1679876429, issued on Dec 17, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Pueblo, CO. The record was last updated on Dec 17, 2010.