Organization
CARLSBAD LIFEHOUSE INC
Active
Other names
Carlsbad Life House Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SUSAN ROGGE-ROGERS (EXECUTIVE DIRECTOR)
(575) 302-8304
Entity
Organization
Contact information
Practice address
1900 WESTRIDGE RD, CARLSBAD, NM 88220-3550
(575) 725-5552
Mailing address
PO BOX 3141, CARLSBAD, NM 88221-3141
(575) 302-8304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2492137
—
NM
Enumeration date
03/05/2021
Last updated
12/30/2022
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