Nm Department of Health
NPI #1063641819 in Fort Bayard, New Mexico
Provider Information
- NPI Number
- 1063641819
- Entity Type
- Organization
- Organization Name
- Nm Department of Health
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NM DEPARTMENT OF HEALTH
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 14, 2009
- Last Updated
- Jul 14, 2009
Practice Location
- Address
- 100 CALLE DE CENTRAL
- City
- Fort Bayard
- State
- New Mexico
- ZIP Code
- 88036
- Phone
- (575) 537-8831
Authorized Official
- Name
- MR. ALFRED CORONA CHAVEZ, LADAC, B.S.
- Title
- CLINICAL SUPERVISOR
- Phone
- (575) 537-8831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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