San Juan Detoxification Center,Inc

LBN: Four Winds Recovery Center,Inc
San Juan Detoxification Center,Inc is an health care organization with primary practice located at 1313 Mission Ave. , Farmington NM 87401-5008. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Four Winds Recovery Center,Inc can be contacted via phone (505) 327-7218, or through Schneider, Jolene Marie via phone (505) 327-7218.

Contact Information

Primary practice address
1313 Mission Ave. Farmington NM 87401-5008
Phone: (505) 327-7218
Fax: (505) 327-0828
Website:
Map and Directions
Authorized official contact:
Name: Schneider, Jolene Marie BA, LADAC
Phone: (505) 327-7218

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 5316 New Mexico

Profile Details

NPI number 1669539656
LBN Legal business name Four Winds Recovery Center,Inc
DBA Doing business as San Juan Detoxification Center,Inc
Authorized official Schneider, Jolene Marie BA, LADAC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 24th, 2013 - about 12 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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