NPI 1982795639
State of New Mexico
Practice location
- Address
- 5400 Gibson Blvd SE, Albuquerque, NM 87108-4729
- Phone
- (505) 841-8978
- Fax
- (505) 383-1190
- Mailing address
- 5400 Gibson Blvd SE Box 13, Albuquerque, NM 87108-4729
Authorised official
- Name
- Jeff Lamure
- Title
- Administrator
- Phone
- (505) 383-1122
Registered specialties (4)
Special Hospital
Primary
Community/Behavioral Health Agency
Substance Use Disorder Rehabilitation Hospital Unit
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1982795639
- Entity type
- Organization
- NPI issued
- 27 Sep 2006
- Record last updated
- 24 Feb 2025
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.