NPI 1649296252

Expressions of Life

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Albuquerque, NM

Practice location

Address: 3811 Atrisco Dr NW STE C, Albuquerque, NM 87120-4903
Phone: (505) 831-6250
Fax: (505) 831-6254

Authorised official

Name: Carol Lynn Montoya-Herrera
Title: Director
Phone: (505) 831-6250

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 02-942112-00-8 (NM)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New Mexico →

Registry record

NPI: 1649296252
Entity type: Organization
NPI issued: 15 Jul 2006
Record last updated: 22 Aug 2020

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.