BERNALILLO COUNTY DEPARTMENT OF SUBSTANCE ABUSE PROGRAMS (NPI# 1093965873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093965873 |
| Entity Type | Organization |
| Organization Name | BERNALILLO COUNTY DEPARTMENT OF SUBSTANCE ABUSE PROGRAMS |
| Practice Address |
5901 Zuni Rd Se Albuquerque NM 87108-3073 |
| Practice Telephone | 5054681551 |
| Practice Fax Number | 5052663726 |
| Mailing Telephone | 5054681551 |
| Mailing Fax Number | 5052663726 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2009-06-24 |
| Authorized Official Name | CARL DALLAS BROACH (DIRECTOR) |
| Authorized Official Telephone | 5054681553 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | Y |
| Parent Organization Name | BERNALILLO COUNTY PUBLIC SAFETY DIVISION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
5901 ZUNI RD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285655837 | Ian Charles Osborn | Psychiatry & Neurology | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2006-07-21 |
| 1104467042 | Angelina Suzanne Chavez | Registered Nurse | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2019-10-02 |
| 1164987848 | Christina Garza | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2019-02-06 |
| 1194236075 | Zachary Elder | Social Worker | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2017-10-18 |
| 1952828089 | Shannon Michelle Foskey | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2017-08-29 |
| 1902351141 | Priya Butcher | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2016-08-17 |
| 1225494248 | Sadhu Khalsa | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2016-01-06 |
| 1437520517 | Jocelyn Herzog | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2015-10-14 |
| 1639419716 | Timothy G. Allen | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2013-02-26 |
| 1477893550 | Dolores Rivera | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505452 | Innovative Mat Solutions, LLC | Substance Abuse Rehabilitation Facility | 2215 Ambassador Rd Ne Apt 37, Albuquerque, NM 87112-2767 | 2019-12-11 |
| 1225509250 | Recovery House LLC | Substance Abuse Rehabilitation Facility | 9171 Glendale Ave Ne, Albuquerque, NM 87122-3805 | 2018-12-17 |
| 1427535251 | Full Circle Recovery | Substance Abuse Rehabilitation Facility | 3056 Frontier Ave. Ne, Albuquerque, NM 87106-8710 | 2018-07-24 |
| 1386870137 | Dismas House Nm Inc. | Substance Abuse Rehabilitation Facility | 701 Candelaria Rd Nw, Albuquerque, NM 87107-2407 | 2009-06-08 |
| 1760621007 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd. S. E, 3rd Floor, Albuquerque, NM 87109 | 2009-02-10 |
| 1356527162 | Sobriety House | Substance Abuse Rehabilitation Facility | 126 General Chennault St Ne, Albuquerque, NM 87123-2515 | 2008-01-11 |
| 1104982099 | Albuquerque Health Care for The Homeless | Substance Abuse Rehabilitation Facility | 5817 Central Ave Nw, Albuquerque, NM 87105-1800 | 2006-12-28 |
| 1316003213 | Albuquerque Health Care for The Homeless | Substance Abuse Rehabilitation Facility | 502 Los Arboles Avenue Nw, Albuquerque, NM 87107 | 2006-12-28 |
| 1437521507 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd Se, Third Floor, Suite A, Albuquerque, NM 87108-4729 | 2015-10-28 |
| 1962896332 | Dds LLC | Substance Abuse Rehabilitation Facility | 6747 Academy Rd Ne, Suite A, Albuquerque, NM 87109-3384 | 2015-03-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on BERNALILLO COUNTY DEPARTMENT OF SUBSTANCE ABUSE PROGRAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.