| Hoy Recovery Womens Program | |
|
365 County Rd 40 Alcalde NM 87511-0121 | |
| (505) 852-1828 | |
| (505) 852-1827 |
| Full Name | Hoy Recovery Womens Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 365 County Rd 40, Alcalde, New Mexico |
| Authorized Official Name and Position | Ambrose L Baros (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5058522580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoy Recovery Womens Program Po Box 520 Espanola NM 87532 Ph: (505) 852-2580 | Hoy Recovery Womens Program 365 County Rd 40 Alcalde NM 87511-0121 Ph: (505) 852-1828 |
| NPI Number | 1558942391 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558942391 | NPI | - | NPPES |
| 23501090 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |