Organization
US DEPT. HEALTH & HUMAN SERVICES - USPHS INDIAN HEALTH SERVICES
Active
Other names
New Sunrise Regional Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANAY CEDARFACE MBA (CHIEF EXECUTIVE OFFICER)
(505) 552-5500
Entity
Organization
Contact information
Practice address
20 MOCKINGBIRD DR., SAN FIDEL, NM 87049
(505) 552-5500
(505) 552-5530
Mailing address
P.O. BOX 219, SAN FIDEL, NM 87049
(505) 552-5500
(505) 552-5530
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642985
—
AZ
05
—
87924277
—
CO
05
—
95715
—
NM
Enumeration date
01/19/2007
Last updated
05/24/2016
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