| NPI | 1528805892 |
|---|---|
| Other Name | FOUR CORNERS DETOX & RECOVERY |
| Entity Type | Organization |
| Authorized Contact | ELISA SCHLEUSENER Human Resources 505-847-5422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |