Organization
CGC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NONA A COLLINS LADAC (OWNER)
(505) 318-5750
Entity
Organization
Contact information
Practice address
610 GOLD AVE SW STE 102, ALBUQUERQUE, NM 87102-3187
(505) 318-5750
Mailing address
610 GOLD AVE SW STE 102, ALBUQUERQUE, NM 87102-3187
(505) 318-5750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
12/11/2025
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