New Mexico Teen Challenge, Inc.
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Tijeras, NM
NPI 1508488677 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1508488677
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- NEW MEXICO TEEN CHALLENGE, INC.
- Practice address
- 1 Camino Oro CT
Tijeras, NM 87059-7924 - Phone
- (706) 596-8731
- Fax
- (706) 596-8732
- NPI assigned
- May 12, 2020
- Organization subpart
- No
Authorized official
- Name
- James Goins Jr.
- Title
- Clinical Supervisor
- Phone
- (484) 868-0584
Practitioners 3
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes | ||
| Mental Health Counselor |
101YM0800X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
1 Camino Oro CT
Tijeras, NM 87059-7924
Mailing address
PO Box 20610
Albuquerque, NM 87154-0610
Phone (706) 596-8731
Other providers in Tijeras, NM
- Alice Kathleen Moore-Gregory
- Sherry Ann Morgan
- Mountain Valley Massage LLC
- Juan Muro
- New Mexico Mobility Therapy Services, LLC
- Barbara W O'Neill
- Optimized Wellness
- Sandra Jo Orne-Adams
- Theresa Ramirez
- Nancy Suzanne Roberts
All providers in Tijeras, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.