NPI 1376770214

The Consortium

Organisation Substance Abuse Rehabilitation Facility Fort Sumner, NM

Practice location

Address: 571 North Tenth Street, Fort Sumner, NM 88119-0427
Phone: (575) 355-8038
Fax: (575) 355-8041

Authorised official

Name: Emory James Crawford
Title: Administrator
Phone: (575) 355-8038

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in New Mexico →

Registry record

NPI: 1376770214
Entity type: Organization
NPI issued: 18 Jun 2009
Record last updated: 18 Jun 2009

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.