Individual provider · Type 1 NPI

Tara Smith, BS

Substance Abuse Rehabilitation Facility · Pueblo, CO

NPI number 1861729659 Active

Practice location

3470 Baltimore Ave
Pueblo, CO 81008-1520

Fax (719) 545-4097

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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 1861729659

Tara Smith, BS's National Provider Identifier is 1861729659, issued on Nov 16, 2009. 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 Nov 16, 2009.