# EXPRESSIONS OF LIFE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649296252
- **Authorized official:** CAROL LYNN MONTOYA-HERRERA (DIRECTOR)
- **Authorized official phone:** (505) 831-6250

## Contact information

- **Practice address:** 3811 ATRISCO DR NW STE C, ALBUQUERQUE, NM 87120-4903
- **Practice address phone:** (505) 831-6250
- **Practice address fax:** (505) 831-6254
- **Mailing address:** 3811 ATRISCO DR NW STE C, ALBUQUERQUE, NM 87120-4903
- **Mailing address phone:** (505) 831-6250
- **Mailing address fax:** (505) 831-6254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 02-942112-00-8 | NM | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | A0413 | — | NM |