Courageous Transformations, Inc

LBN: Courageous Transformations, Inc
Courageous Transformations, Inc is an health care organization with primary practice located at 3301 Los Arboles Ave Ne , Albuquerque NM 87107-1943. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Courageous Transformations, Inc can be contacted via phone (505) 800-7092, or through Breeden, Charlotte via phone (505) 800-7092.

Contact Information

Primary practice address
3301 Los Arboles Ave Ne Albuquerque NM 87107-1943
Fax:
Website:
Authorized official contact:
Name: Breeden, Charlotte RPH

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Methadone 261QM2800X NM10061M New Mexico

Profile Details

NPI number 1568838795
LBN Legal business name Courageous Transformations, Inc
DBA Doing business as
Authorized official Breeden, Charlotte RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2015
Last updated Jul 27th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568838795 NPPES
New Mexico MEDICAID 37101056
New Mexico MEDICAID 50981331

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