| New Mexico Teen Challenge, Inc. | |
|
1 Camino Oro Ct Tijeras NM 87059-7924 | |
| (706) 596-8731 | |
| (706) 596-8732 |
| Full Name | New Mexico Teen Challenge, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1 Camino Oro Ct, Tijeras, New Mexico |
| Authorized Official Name and Position | James Goins (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 4848680584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Teen Challenge, Inc. Po Box 20610 Albuquerque NM 87154-0610 Ph: (706) 596-8731 | New Mexico Teen Challenge, Inc. 1 Camino Oro Ct Tijeras NM 87059-7924 Ph: (706) 596-8731 |
| NPI Number | 1508488677 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508488677 | NPI | - | NPPES |
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