| NPI | 1881429652 |
|---|---|
| Doing Business As | FOUR CORNERS RECOVERY DETOX |
| Entity Type | Organization |
| Authorized Contact | ELISA SCHLEUSENER Hr 505-847-5422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |