Individual provider · Type 1 NPI

Donald Robert Fraga

Substance Abuse Rehabilitation Facility · Roswell, NM

NPI number 1194213736 Active

Practice location

1107 S Atkinson Ave
Roswell, NM 88203-7154

Mailing address

704 Grove St
Roswell, NM 88201-7434

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X0180371 (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.

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About NPI 1194213736

Donald Robert Fraga's National Provider Identifier is 1194213736, issued on Apr 30, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Roswell, NM. The record was last updated on Apr 30, 2018.