New Mexico Teen Challenge, Inc.
NPI #1508488677 in Tijeras, New Mexico
Provider Information
- NPI Number
- 1508488677
- Entity Type
- Organization
- Organization Name
- New Mexico Teen Challenge, Inc.
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 12, 2020
- Last Updated
- Jul 7, 2023
Practice Location
- Address
- 1 CAMINO ORO CT
- City
- Tijeras
- State
- New Mexico
- ZIP Code
- 87059-7924
- Phone
- (706) 596-8731
Authorized Official
- Name
- JAMES GOINS JR.
- Title
- CLINICAL SUPERVISOR
- Phone
- (484) 868-0584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Substance Abuse Rehabilitation Facility |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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