| NPI | 1639028020 |
|---|---|
| Doing Business As | ICARUS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JAIME BACA Executive Director 505-305-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-08-17 |