NPI 1619269446

The Jericho House

Organisation Substance Abuse Rehabilitation Facility Las Cruces, NM

Practice location

Address: 2845 Dona Ana Rd, Las Cruces, NM 88007-5239
Phone: (575) 915-0450
Fax: (575) 915-0450

Authorised official

Name: Reginald Anthony Gibbs
Title: Pastor/Director
Phone: (575) 915-0450

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in New Mexico →

Registry record

NPI: 1619269446
Entity type: Organization
NPI issued: 12 May 2011
Record last updated: 12 May 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.