Organization
HOY RECOVERY OUTPATINT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL MARTINEZ L.A.D.A.C (DIRECTOR)
(505) 753-2203
Entity
Organization
Contact information
Practice address
612 N PASEO DE ONATE, ESPANOLA, NM 87532-2963
(505) 753-2203
(505) 747-1881
Mailing address
PO BOX 520, ESPANOLA, NM 87532-0520
(505) 753-2203
(505) 747-1881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2054
NM
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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