MAKING AN IMPACT LLC NPI 1447902192

NPI Information

MAKING AN IMPACT LLC is a substance abuse rehabilitation facility in Rio Rancho, NM. The provider is 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. MAKING AN IMPACT LLC NPI is 1447902192. The provider is registered as an organization entity type.
The provider Is Doing Business As Icarus Behavioral Health.

The provider's business location address is:

2501 MONTERREY RD NE
RIO RANCHO, NM
ZIP 87144-600
Phone: (719) 651-7584

The provider's authorized official is Paul Covelli .
The authorized official title is Owner and has the following contact phone number (719) 651-7584.

The enumeration date for this NPI number is 1/24/2022 and was last updated on 12/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.