Organization · Type 2 NPI

The Consortium

Substance Abuse Rehabilitation Facility · Fort Sumner, NM

NPI number 1376770214 Active

Practice location

571 North Tenth Street
Fort Sumner, NM 88119-0427

Fax (575) 355-8041

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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 1376770214

The Consortium's National Provider Identifier is 1376770214, issued on Jun 18, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fort Sumner, NM. The record was last updated on Jun 18, 2009.