Organization · Type 2 NPI

Us Dept. Health & Human Services - Usphs Indian Health Services

Substance Abuse Rehabilitation Facility · San Fidel, NM

NPI number 1740333160 Active

Practice location

20 Mockingbird Dr.
San Fidel, NM 87049

Fax (505) 552-5530

Mailing address

P.o. Box 219
San Fidel, NM 87049

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.

About NPI 1740333160

Us Dept. Health & Human Services - Usphs Indian Health Services's National Provider Identifier is 1740333160, issued on Jan 19, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Fidel, NM. The record was last updated on May 24, 2016.