Organization
SOBRIETY HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S SIMPSON PSYD (PROGRAM DIRECTOR)
(505) 977-9180
Entity
Organization
Contact information
Practice address
126 GENERAL CHENNAULT ST NE, ALBUQUERQUE, NM 87123-2515
(505) 977-9180
Mailing address
PO BOX 67395, ALBUQUERQUE, NM 87193-7395
(505) 977-9180
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NM
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
NM
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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