NPI 1285921569

Transitional Living Services

Organisation Mental Illness Community Based Residential Treatment Facility Albuquerque, NM

Practice location

Address: 5601 Domingo Rd NE, Albuquerque, NM 87108-1610
Phone: (505) 268-5295

Authorised official

Name: Gary B Jackson
Title: Executive Director
Phone: (505) 268-5295

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 105341 (NM)

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

Registry record

NPI: 1285921569
Entity type: Organization
NPI issued: 7 Jul 2011
Record last updated: 7 Jul 2011

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.