Organization · Type 2 NPI
Bobby Coyne LLC
Substance Use Disorder Rehabilitation Clinic/Center · Los Alamos, NM
NPI number
1124267968
Active
Practice location
127 Eastgate Dr, Ste 212 H
Los Alamos, NM 87544-3300
Fax (505) 663-0100
Mailing address
2164 43rd St, Ste C
Los Alamos, NM 87544-1745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 4758 (NM) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1124267968
Bobby Coyne LLC's National Provider Identifier is 1124267968, issued on Feb 18, 2009. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Los Alamos, NM. The record was last updated on Feb 18, 2009.