Organization · Type 2 NPI

NM Department of Health

Substance Abuse Rehabilitation Facility · Fort Bayard, NM

NPI number 1063641819 Active

Practice location

100 Calle De Central
Fort Bayard, NM 88036

Fax (575) 537-8886

Mailing address

PO Box 36216
Fort Bayard, NM 88036-6216

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X5610 (NM)

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.

About NPI 1063641819

NM Department of Health's National Provider Identifier is 1063641819, issued on Jul 14, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fort Bayard, NM. The record was last updated on Jul 14, 2009.