SOBRIETY HOUSE NPI 1356527162

NPI Information

  • NPI: 1356527162
  • Provider Name: SOBRIETY HOUSE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: MARK SIMPSON, PSYD, MAC, LADAC
  • Address: 126 GENERAL CHENNAULT ST NE
    ALBUQUERQUE, NM
    ZIP 87123
  • Phone: (505) 977-9180

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NPI Details

SOBRIETY HOUSE is a substance abuse rehabilitation facility in Albuquerque, 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. SOBRIETY HOUSE NPI is 1356527162. The provider is registered as an organization entity type.
The provider Is Doing Business As Mark Simpson, Psyd, Mac, Ladac.

The provider's business location address is:

126 GENERAL CHENNAULT ST NE
ALBUQUERQUE, NM
ZIP 87123-515
Phone: (505) 977-9180
Fax: (505) 352-0467

The provider's authorized official is Mark S Simpson .
The authorized official title is Clinical Psychologist/program Dir and has the following contact phone number (505) 977-9180.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 1/11/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityNEW MEXICOYes

What is NPI?

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This page was last updated on: 3/30/2025

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