Organization · Type 2 NPI
Coyote Canyon Rehabilitation Center, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Brimhall, NM
Practice location
10 Miles East Navajo Route #9
Brimhall, NM 87310
Fax (505) 735-2013
Mailing address
PO Box 158
Brimhall, NM 87310-0158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1255622965
Coyote Canyon Rehabilitation Center, Inc.'s National Provider Identifier is 1255622965, issued on Apr 28, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Brimhall, NM. The record was last updated on Apr 28, 2011.