NM DEPARTMENT OF HEALTH

FORT BAYARD, NM
NPI1063641819
Doing Business AsFT BAYARY MEDICAL CENTTER, YUCCA LODGE
Entity TypeOrganization
Authorized ContactALFRED CORONA CHAVEZ
Clinical Supervisor
575-537-8831
Organization Subpart ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: NM  5610)
Enumeration Date2009-07-14
Last Update Date2009-07-14
Business Address
NM DEPARTMENT OF HEALTH
100 CALLE DE CENTRAL
FORT BAYARD, NM 88036
Phone number: 575-537-8831
Mailing Address
NM DEPARTMENT OF HEALTH
PO BOX 36216
FORT BAYARD, NM 88036-6216
Phone number: 575-537-8831