REGIONAL SUBSTANCE ABUSE TREATMENT INITIATIVE (NPI# 1235375460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235375460 |
| Entity Type | Organization |
| Organization Name | REGIONAL SUBSTANCE ABUSE TREATMENT INITIATIVE |
| Practice Address |
519 North 10th. Street Fort Sumner NM 88119 |
| Practice Telephone | 5753558811 |
| Practice Fax Number | 5753558810 |
| Mailing Telephone | 5753558811 |
| Mailing Fax Number | 5753558810 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Authorized Official Name | EMORY CRAWFORD (ADMINISTRATOR) |
| Authorized Official Telephone | 5753558811 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
519 NORTH 10TH. STREET |
| City | FORT SUMNER |
| State | NM |
| Zip Code | 88119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659627529 | Angelica R. Segura | Counselor | De Baca Family Practice Clinic, 546 N. 10th Street, Fort Sumner, NM 88119 | 2012-07-30 |
| 1780917765 | Lori L. Moyer | Counselor | 678 Avenue C, Fort Sumner, NM 88119 | 2009-09-09 |
| 1356470447 | Village of Fort Sumner | Ambulance | 173 E Ave C, Ft Sumner, NM 88119 | 2007-03-05 |
| 1124184213 | Wil B Pacheco | Dentist | 546 N 10th Street, Fort Sumner, NM 88119 | 2006-12-31 |
| 1003855032 | De Baca Family Practice Clinic | Clinic/Center | 546 N. Tenth St, Fort Sumner, NM 88119 | 2006-06-05 |
| 1023001591 | Darlene G Jenkins | Nurse Practitioner | 546 North 10th St., Fort Sumner, NM 88119 | 2005-08-30 |
| 1235643321 | Marie Alice Dickerman | Registered Nurse | 262 South 9th Street, Elementary School Building, Fort Sumner, NM 88119 | 2017-11-28 |
| 1679966451 | Laney Pierce | Nurse Practitioner | 546 N 10th Street, Fort Sumner, NM 88119 | 2015-03-18 |
| 1184054025 | Sheila A Smith | Social Worker | 546 N 10th Street, Fort Sumner, NM 88119 | 2013-11-13 |
| 1780019018 | Turquoise Health and Wellness, Inc. | Community/Behavioral Health | 678 Avenue C, Fort Sumner, NM 88119 | 2013-09-05 |
| Find all providers in zip 88119 | ||||
| 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 |
|---|---|---|---|---|
| 1376770214 | The Consortium | Substance Abuse Rehabilitation Facility | 571 North Tenth Street, Fort Sumner, NM 88119-0427 | 2009-06-18 |
| 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 |
| 1679007744 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 579 White Swan Rd, 327 Eagle Drive, Ohkay Owingeh, NM 87566 | 2017-04-17 |
| 1295154888 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 250 Shadow Mountain Rd., Taos, NM 87571 | 2014-04-10 |
| 1619269446 | The Jericho House | Substance Abuse Rehabilitation Facility | 2845 Dona Ana Rd, Las Cruces, NM 88007-5239 | 2011-05-12 |
| 1063641819 | Nm Department of Health | Substance Abuse Rehabilitation Facility | 100 Calle De Central, Fort Bayard, NM 88036 | 2009-07-14 |
| 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 |
| 1740447069 | San Juan County | Substance Abuse Rehabilitation Facility | 1006 Municipal Dr, Farmington, NM 87401-5442 | 2008-05-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT SUMNER |
| Zip Code | 88119 |
Please comment or provide details below to improve the information on REGIONAL SUBSTANCE ABUSE TREATMENT INITIATIVE.
| 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.