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Coyote Canyon Rehabilitation Center, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brimhall, New Mexico
NPI 1255622965

Coyote Canyon Rehabilitation Center, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Brimhall, NM. Coyote Canyon Rehabilitation Center, Inc. practices in Brimhall, NM. The NPI Number for Coyote Canyon Rehabilitation Center, Inc. is 1255622965 and holds a License No. (New Mexico).

The current practice location address for Coyote Canyon Rehabilitation Center, Inc. is 10 Miles East Navajo Route #9, Brimhall, NM and can be reached out via phone at 505-735-2261 and via fax at 505-735-2013.

Location: 10 Miles East Navajo Route #9, Brimhall, NM, 87310-0158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255622965
Provider Name
Coyote Canyon Rehabilitation Center, Inc.
Credential
Provider Entity Type
Organization
Address
10 Miles East Navajo Route #9, Brimhall, NM, 87310-0158
Phone Number
505-735-2261
Fax Number
505-735-2013
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D2167 05 NM
institution
Provider Business Practice Location Address Details
Address
10 Miles East Navajo Route #9
City
Brimhall
State
New Mexico
Zip
87310
Phone Number
505-735-2261
Fax Number
505-735-2013
person
Provider Business Mailing Address Details
Address
10 Miles East Navajo Route #9
City
Brimhall
State
New Mexico
Zip
87310
Phone Number
505-735-2261
Fax Number
505-735-2013
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(New Mexico)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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