Healthcare Provider Details

I. General information

NPI: 1104741735
Provider Name (Legal Business Name): COLORADO COMPASS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 E SPAULDING AVE, 3, 1
PUEBLO WEST CO
81007-1668
US

IV. Provider business mailing address

44 E SPAULDING AVE, 3, 1
PUEBLO WEST CO
81007-1668
US

V. Phone/Fax

Practice location:
  • Phone: 719-334-6333
  • Fax:
Mailing address:
  • Phone: 719-334-6333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL BENSKO
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 719-334-6333