Organization
BOBBY COYNE LLC
Active
Organization
BOBBY COYNE LLC
Active
Other names
A.D.A.P.T. & Recover
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH COYNE SR. LISW, LADAC (CLINICAL DIRECTOR)
(505) 661-9700
Entity
Organization
Contact information
Practice address
127 EASTGATE DR, STE 212 H, LOS ALAMOS, NM 87544-3300
(505) 661-9700
(505) 663-0100
Mailing address
2164 43RD ST, STE C, LOS ALAMOS, NM 87544-1745
(505) 661-9700
(505) 663-0100
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
4758
NM
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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