Una Ala Clinic, Inc

Organization Active NPI Methadone Clinic · Espanola, NM

NPI 1609089408 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1609089408
Entity type
Organization (NPI type 2)
Primary specialty
Methadone Clinic 261QM2800X
License
CSOOO2020217 (NM)
Legal business name
UNA ALA CLINIC, INC
Practice address
104 Los Alamos Hwy
Espanola, NM 87532-2747
Phone
(505) 747-8187
Fax
(505) 747-8306
NPI assigned
May 8, 2007
Organization subpart
No

Authorized official

Name
Mr. Michael Martinez
Title
Executive Director
Phone
(505) 747-8187

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

104 Los Alamos Hwy
Espanola, NM 87532
Phone (505) 747-8187

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X CSOOO2020217 NM Yes

Addresses

Primary practice location

104 Los Alamos Hwy
Espanola, NM 87532-2747

Mailing address

104 Los Alamos Hwy
Espanola, NM 87532-2747
Phone (505) 747-8187

Other providers in Espanola, NM

All providers in Espanola, NM · Methadone Clinic in New Mexico

Sources for this page

Verify at the official NPI Registry.