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Organization

NEW MEXICO WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELONIE BACOCCINI (OWNER)
(505) 362-0758
Entity
Organization

Contact information

Practice address
4210 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1021
(505) 362-0758
Mailing address
4210 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1021
(505) 362-0758

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
11/10/2020
Last updated
07/17/2026
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