Bobby Coyne LLC

NPI #1124267968 in Los Alamos, New Mexico

Provider Information

NPI Number
1124267968
Entity Type
Organization
Organization Name
Bobby Coyne LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Feb 18, 2009
Last Updated
Feb 18, 2009

Practice Location

Address
127 EASTGATE DR
Address 2
STE 212 H
ZIP Code
87544-3300
Phone
(505) 661-9700

Authorized Official

Name
MR. ROBERT JOSEPH COYNE SR., LISW, LADAC
Title
CLINICAL DIRECTOR
Phone
(505) 661-9700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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