Organization
FOUR WINDS RECOVERY CENTER,INC
Active
Other names
San Juan Detoxification Center,INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOLENE MARIE SCHNEIDER BA, LADAC (EXECUTIVE DIRECTOR)
(505) 327-7218
Entity
Organization
Contact information
Practice address
1313 MISSION AVE., FARMINGTON, NM 87401-5008
(505) 327-7218
(505) 327-0828
Mailing address
1313 MISSION AVE., FARMINGTON, NM 87401-5008
(505) 327-7218
(505) 327-0828
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
5316
NM
Other
Enumeration date
01/02/2007
Last updated
01/24/2013
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