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Organization

COMPREHENSIVE REENTRY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW J MILLER CCSS (EXECUTIVE DIRECTOR)
(505) 810-6370
Entity
Organization

Contact information

Practice address
1605 JUAN TABO BLVD NE STE U, ALBUQUERQUE, NM 87112-4459
(505) 712-0170
Mailing address
521 DOROTHY ST NE, ALBUQUERQUE, NM 87123-2818
(505) 810-6370
(505) 810-6370

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
273Y00000X
Rehabilitation Hospital Unit
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
12/23/2025
Last updated
12/23/2025
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