Organization
VILLAGE RESTORATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANA TORRES CISNEROS (ADMINISTRATOR)
(480) 788-8509
Entity
Organization
Contact information
Practice address
1209 MOUNTAIN ROAD PL NE, ALBUQUERQUE, NM 87110-7845
(480) 788-8509
Mailing address
1209 MOUNTAIN ROAD PL NE, ALBUQUERQUE, NM 87110-7845
(480) 788-8509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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