| NPI | 1699427344 |
|---|---|
| Doing Business As | ICARUS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JAIME BACA Executive Director 505-305-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2026-08-17 |