Dismas House
NPI #1205219771 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1205219771
- Entity Type
- Organization
- Organization Name
- Dismas House
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jul 2, 2015
- Last Updated
- Jul 2, 2015
Practice Location
- Address
- 701 CANDELARIA
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87108
- Phone
- (505) 343-0746
Authorized Official
- Name
- MR. JAMES GIVENS
- Title
- COMMUNITY SERVICE WORKER
- Phone
- (505) 343-0746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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