Organization
GR8EXPECTATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH JANE ZARING (OWNER)
(505) 261-9925
Entity
Organization
Contact information
Practice address
83 2ND ST SE, RIO RANCHO, NM 87124-0786
(505) 261-9925
Mailing address
83 2ND ST SE, RIO RANCHO, NM 87124-0786
(505) 261-9925
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
251S00000X
NM
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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