Organization
DISMAS HOUSE NM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTY SMITH REVEREND (EXECUTIVE DIRECTOR)
(505) 343-0746
Entity
Organization
Contact information
Practice address
701 CANDELARIA RD NW, ALBUQUERQUE, NM 87107-2407
(505) 343-0746
(505) 345-4513
Mailing address
PO BOX 6101, ALBUQUERQUE, NM 87197-6101
(505) 343-0746
(505) 345-4513
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
NM
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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