NPI 1265024103
Avalon Ranch
Practice location
- Address
- 106 N Mesquite St, Carlsbad, NM 88220-4960
- Phone
- (575) 302-8304
Authorised official
- Name
- Kimberly Susan Rogge-Rogers
- Title
- Executive Director
- Phone
- (575) 302-8304
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1265024103
- Entity type
- Organization
- NPI issued
- 10 Feb 2021
- Record last updated
- 10 Feb 2021
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.