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Organization

COURAGEOUS TRANSFORMATIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE BREEDEN RPH (CEO/DIRECTOR)
(505) 800-7092
Entity
Organization

Contact information

Practice address
3301 LOS ARBOLES AVE NE, ALBUQUERQUE, NM 87107-1943
(505) 800-7092
Mailing address
PO BOX 35014, ALBUQUERQUE, NM 87176-5014
(505) 800-7092

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM2800X
Methadone Clinic
Primary
NM10061M
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37101056
NM
05
50981331
NM
Enumeration date
08/11/2015
Last updated
08/26/2024
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