Organization
AVALON RANCH
Active
Other names
Avalon Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SUSAN ROGGE-ROGERS (EXECUTIVE DIRECTOR)
(575) 302-8304
Entity
Organization
Contact information
Practice address
106 N MESQUITE ST, CARLSBAD, NM 88220-4960
(575) 302-8304
Mailing address
106 N MESQUITE ST, CARLSBAD, NM 88220-4960
(575) 302-8304
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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