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Organization
COURAGEOUS TRANSFORMATIONS, INC
Active
Organization
COURAGEOUS TRANSFORMATIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE BREEDEN RPH (CEO/DIRECTOR)
(505) 800-7092
Entity
Organization
Contact information
Practice address
3301 LOS ARBOLES AVE NE, ALBUQUERQUE, NM 87107-1943
(505) 800-7092
Mailing address
PO BOX 35014, ALBUQUERQUE, NM 87176-5014
(505) 800-7092
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
NM10061M
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37101056
—
NM
05
—
50981331
—
NM
Enumeration date
08/11/2015
Last updated
08/26/2024
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