NPI: 1699427344
Provider Name: MAKING AN IMPACT LLC
Doing Business As: ICARUS BEHAVIORAL HEALTH
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
8601 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114
Phone: (719) 651-7585
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MAKING AN IMPACT LLC is a rehabilitation and substance use disorder clinic center in Albuquerque, NM. MAKING AN IMPACT LLC NPI is 1699427344. 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:
8601 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114-775
Phone: (719) 651-7585
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.