NPI 1205219771

Dismas House

Organisation Mental Illness Community Based Residential Treatment Facility Albuquerque, NM

Practice location

Address: 701 Candelaria, Albuquerque, NM 87108
Phone: (505) 343-0746
Fax: (505) 345-4513
Mailing address: PO Box 6101, Albuquerque, NM 87197-6101

Authorised official

Name: James Givens
Title: Community Service Worker
Phone: (505) 343-0746

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence NPI#1902918055 (NM)

Other Community Based Residential Treatment Facility, Mental Illness providers in New Mexico →

Registry record

NPI: 1205219771
Entity type: Organization
NPI issued: 2 Jul 2015
Record last updated: 2 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.