NPI 1740447069

San Juan County

Organisation Substance Abuse Rehabilitation Facility Farmington, NM

Practice location

Address: 1006 Municipal Dr, Farmington, NM 87401-5442
Phone: (505) 325-1720
Fax: (505) 325-1611

Authorised official

Name: Robert V Mitchell
Title: Administrator
Phone: (505) 325-1720

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in New Mexico →

Registry record

NPI: 1740447069
Entity type: Organization
NPI issued: 22 May 2008
Record last updated: 22 May 2008

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.