Individual provider · Type 1 NPI
Tami Pacheco, BA, MA, LADC
Substance Use Disorder Rehabilitation Clinic/Center · Albuquerque, NM
NPI number
1225649015
Active
Practice location
8928 Opportunity Dr NE
Albuquerque, NM 87109-5153
Mailing address
4216 Rancho Grande Pl NW
Albuquerque, NM 87120-5336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1225649015
Tami Pacheco, BA, MA, LADC's National Provider Identifier is 1225649015, issued on Aug 13, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 23, 2020.