Organization
THE CONSORTIUM
Active
Other names
REGIONAL SUBSTANCE ABUSE TREATMENT INITIATIVE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMORY JAMES CRAWFORD LPCC (ADMINISTRATOR)
(575) 355-8038
Entity
Organization
Contact information
Practice address
571 NORTH TENTH STREET, FORT SUMNER, NM 88119-0427
(575) 355-8038
(575) 355-8041
Mailing address
571 NORTH TENTH STREET, FORT SUMNER, NM 88119-0427
(575) 355-8038
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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