Organization
REGIONAL SUBSTANCE ABUSE TREATMENT INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMORY CRAWFORD LPCC (ADMINISTRATOR)
(575) 355-8811
Entity
Organization
Contact information
Practice address
519 NORTH 10TH. STREET, FORT SUMNER, NM 88119
(575) 355-8811
(575) 355-8810
Mailing address
519 NORTH 10TH. STREET, FORT SUMNER, NM 88119
(575) 355-8811
(575) 355-8810
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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