| NPI | 1932930591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KRISTIN GOLDING Co Owner, Chief Operating Officer 505-274-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |