Organization · Type 2 NPI

Making An Impact LLC

Substance Abuse Rehabilitation Facility · Rio Rancho, NM

NPI number 1023761673 Active

Practice location

5408 Vera Cruz Rd NE
Rio Rancho, NM 87144-3281

Call (719) 651-7584 Map

Mailing address

8601 Golf Course Rd NW
Albuquerque, NM 87114-5775

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Other substance abuse rehabilitation facility providers in Rio Rancho

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NPI record

NPI: 1023761673
Entity type: Organization (Type 2)
Issued: Feb 2, 2022
Last updated: Aug 17, 2026
Status: Active

Other names

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Icarus Behavioral Health · doing business as
Icarus Behavioral Health · doing business as

Authorized official

Jaime Baca
Executive Director
(505) 305-0902

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023761673

Making An Impact LLC's National Provider Identifier is 1023761673, issued on Feb 2, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Rio Rancho, NM. The record was last updated on Aug 17, 2026.