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Organization

OTERO COUNTY COUNCIL ON ALCOHOL ABUSE AND ALCOHOLISM

Active
Other names
The Wright House
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SANTIAGO RODRIGUEZ JR. LADAC (EXECUTIVE DIRECTOR)
(505) 437-8942
Entity
Organization

Contact information

Practice address
850 WRIGHT AVE, ALAMOGORDO, NM 88310-7367
(505) 437-8942
(505) 437-8980
Mailing address
PO BOX 1561, ALAMOGORDO, NM 88311-1561
(505) 437-8942
(505) 437-8980

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
5371
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5371
ADULT RESIDENTIAL
NM
Enumeration date
10/06/2005
Last updated
08/22/2020
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