Organization
MAKING AN IMPACT LLC
Active
Other names
Icarus Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE SGUARDO (VP)
(480) 299-2385
Entity
Organization
Contact information
Practice address
8601 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5775
(719) 651-7585
Mailing address
8601 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5775
(719) 651-7585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/27/2026
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