Transitional Living Services

NPI 1285921569 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1285921569
Enumeration Date 07/07/2011
Last Updated 07/07/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GARY B GARY
Position EXECUTIVE DIRECTOR
Phone (505) 268-5295
Fax
Practice Location
5601 DOMINGO RD NE
ALBUQUERQUE NM, 87108-1610, US
Phone (505) 268-5295
Fax
Business Location
5601 DOMINGO RD NE
ALBUQUERQUE NM, 87108-1610, US
Phone (505) 268-5295
Fax
Toxanomy
Taxonomy Code 320800000X
License State New Mexico
License Number 105341
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According to our database, Transitional Living Services NPI is 1285921569, taxonomy code is 320800000X and license number is 105341, license state is located at New Mexico. Transitional Living Services physically located at 5601 Domingo Rd Ne, Albuquerque NM, 87108-1610. NPI Number 1033115704 has the healthcare provider type.

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1285921569 NPI number is provided on an as is basis without warranty of any kind. 1285921569 is maintained by the National Plan & Provider Enumeration System. The contents of Transitional Living Services are for informational purposes only.