COURAGEOUS TRANSFORMATIONS INC NPI 1568838795

NPI Information

NPI: 1568838795
Provider Name: COURAGEOUS TRANSFORMATIONS, INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 32D2165093

Address:
3301 LOS ARBOLES AVE NE
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 800-7092
Get Directions

COURAGEOUS TRANSFORMATIONS, INC is a methadone clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. COURAGEOUS TRANSFORMATIONS, INC NPI is 1568838795. The provider is registered as an organization entity type.

The provider's business location address is:

3301 LOS ARBOLES AVE NE
ALBUQUERQUE, NM
ZIP 87107-943
Phone: (505) 800-7092

The provider's authorized official is Charlotte Breeden .
The authorized official title is Ceo/director and has the following contact phone number (505) 800-7092.

The CLIA number assigned to this NPI record is 32D2165093 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/11/2015 and was last updated on 7/27/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	261QM2800X	Clinic/Center	Methadone	NM10061M	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37101056	MEDICAID	NEW MEXICO
2	50981331	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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