GREG CARBAJAL


Address: 1625 Gaylord Ave, Pueblo, CO 81004-2660
Phone: 7198217274

GREG CARBAJAL (NPI# 1619308350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619308350
Entity Type Individual
Full Name GREG CARBAJAL
Credential MSW
Practice Address 1625 Gaylord Ave
Pueblo
CO 81004-2660
Mailing Address 509 E. 13th Street
Pueblo
CO 81001
Practice Telephone 7198217274
Mailing Telephone 7195466666
Enumeration Date 2013-12-05
Last Update Date 2013-12-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 1625 GAYLORD AVE
City PUEBLO
State CO
Zip Code 81004-2660

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780155929 Renee C Lane Nurse Practitioner 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 2018-12-16
1215406913 Kaiser Foundation Healthplan of Colorado Pharmacy 2625 W. Pueblo Blvd, Pueblo, CO 81004 2018-11-26
1053895532 Rebecka Ann Reatherford Nurse Practitioner St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 2018-09-20
1124510821 Angela M Sillas-green Counselor 327 Colorado Ave., Pueblo, CO 81004 2018-05-30
1558898569 Alexandra R B King Family Medicine Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 2017-05-22
1578098752 James Williams Counselor 414 Broadway Ave, Pueblo, CO 81004 2017-04-26
1740732601 Valerie A Senger Counselor 635 W Corona Ave Ste 214, Pueblo, CO 81004 2016-10-26
1194111500 A New Leaf Therapy, Pllc Community/Behavioral Health 327 Colorado Ave, Pueblo, CO 81004 2015-04-13
1619371671 Mariah Mcginnis Registered Nurse 1232 Van Buren St., Pueblo, CO 81004 2014-10-20
1730593112 Maritza Martinez Registered Nurse 1026 Wabriendo Ave, Pueblo, CO 81004 2014-06-13
Find all providers in zip 81004

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487935144 Southern Colorado Comprehensive Court Services Substance Abuse Rehabilitation Facility 200 W B St Ste 226, Pueblo, CO 81003-3574 2011-09-07
1679876429 Michael Edward Leyba Substance Abuse Rehabilitation Facility 4 Montebello Rd., Pueblo, CO 81001 2010-12-17
1043512916 Candace M Olguin Substance Abuse Rehabilitation Facility 2039 E 10th St, Pueblo, CO 81001-3421 2010-11-29
1316909732 Crossroads' Turning Points Substance Abuse Rehabilitation Facility 509 E 13th St Bldg B, Pueblo, CO 81001-2940 2006-04-03
1831543248 Christopher Romero Substance Abuse Rehabilitation Facility 509 E 13th St, Pueblo, CO 81001-2940 2016-04-21
1447533609 Crossroads Turning Points Substance Abuse Rehabilitation Facility 1711 E Evans Ave, 4 Montelbello Road, Pueblo, CO 81004-3349 2011-09-23
1619272754 Crossroads' Turning Points, Inc. Substance Abuse Rehabilitation Facility 509 E 13th St, A-wm, Pueblo, CO 81001-2940 2011-01-21
1710282017 Crossroads' Turning Points, Inc. Substance Abuse Rehabilitation Facility 3500 Baltimore Ave, Pueblo, CO 81008-1543 2011-01-18
1861729659 Tara Smith Substance Abuse Rehabilitation Facility 3470 Baltimore Ave, Pueblo, CO 81008-1520 2009-11-16
1770819393 John Ryan Vialpando Substance Abuse Rehabilitation Facility 3470 Baltimore Ave, Pueblo, CO 81008-1520 2009-11-02
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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