NPI 1942306790

Residential Crf, INC

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

Practice location

Address: 624 University Ave Suite 500, Las Vegas, NM 87701-4278
Phone: (505) 425-5429
Fax: (505) 425-5379
Mailing address: 1117 N Central Ave, Connersville, IN 47331-2126

Authorised official

Name: Kim Wright
Title: Accounting Assistant
Phone: (765) 827-6996

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 1835362 (IN)

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

Registry record

NPI: 1942306790
Entity type: Organization
NPI issued: 16 Sep 2006
Record last updated: 6 Sep 2023

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.