Organization · Type 2 NPI
NM Department of Health
Substance Abuse Rehabilitation Facility · Fort Bayard, NM
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
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 5610 (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.