| NPI | 1982795639 |
|---|---|
| Doing Business As | NM DEPARTMENT OF HEALTH TURQUOISE LODGE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | SHAUNA HARTLEY Administrator 505-383-1122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NM 6306) |
| Additional Taxonomies | 251S00000X |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: NM 6306) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NM 6306) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-08-08 |