Organization
NEW MEXICO WELLNESS
Active
Parent organization
NEW MEXICO WELLNESS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW MEXICO WELLNESS
Authorized official
AMBROSE BAROS LCSW, LADAC (DIRECTOR OF OPERATIONS)
(505) 927-1024
Entity
Organization
Contact information
Practice address
1333 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5972
(575) 224-6320
(505) 998-7328
Mailing address
4210 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1021
(505) 737-1858
(505) 998-7328
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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