Organization · Type 2 NPI

Grand Summit LLC

Methadone Clinic · Albuquerque, NM

NPI number 1982420329 Active

Practice location

13207 Central Ave NE
Albuquerque, NM 87123-3033

Call (505) 595-1607 Map

Mailing address

9909 Robin Ave NE
Albuquerque, NM 87112-4061

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician 207RA0401XNone listed
Methadone Clinic Primary 261QM2800XNone listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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About NPI 1982420329

Grand Summit LLC's National Provider Identifier is 1982420329, issued on Dec 2, 2024. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Albuquerque, NM. The record was last updated on May 20, 2025.