Organization
OPTIHEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHITRA ROY (DIRECTOR)
(505) 875-1900
Entity
Organization
Contact information
Practice address
4620 JEFFERSON LN NE, SUITE A, ALBUQUERQUE, NM 87109-2120
(505) 875-1900
(505) 837-2765
Mailing address
4620 JEFFERSON LN NE, SUITE A, ALBUQUERQUE, NM 87109-2120
(505) 875-1900
(505) 837-2765
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
DEPARTMENT OF HEALTH
NM
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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