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SOBRIETY HOUSE NPI 1356527162


NPI Information

NPI: 1356527162
Provider Name: SOBRIETY HOUSE

Doing Business As: MARK SIMPSON, PSYD, MAC, LADAC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
126 GENERAL CHENNAULT ST NE
ALBUQUERQUE, NM
ZIP 87123
Phone: (505) 977-9180
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityNEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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