# OPTIHEALTH, INC.

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

## Provider details

- **NPI number:** 1750427514
- **Authorized official:** MRS. CHITRA ROY (DIRECTOR)
- **Authorized official phone:** (505) 875-1900

## Contact information

- **Practice address:** 4620 JEFFERSON LN NE, SUITE A, ALBUQUERQUE, NM 87109-2120
- **Practice address phone:** (505) 875-1900
- **Practice address fax:** (505) 837-2765
- **Mailing address:** 4620 JEFFERSON LN NE, SUITE A, ALBUQUERQUE, NM 87109-2120
- **Mailing address phone:** (505) 875-1900
- **Mailing address fax:** (505) 837-2765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | DEPARTMENT OF HEALTH | NM | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020