Healthcare Provider Details

I. General information

NPI: 1487773792
Provider Name (Legal Business Name): THE RIGHT STEP OF ALBUQUERQUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 PENNSYLVANIA ST NE SUITE 500
ALBUQUERQUE NM
87110-3615
US

IV. Provider business mailing address

2465 MANZANO LOOP NE
RIO RANCHO NM
87144-7545
US

V. Phone/Fax

Practice location:
  • Phone: 505-232-9115
  • Fax:
Mailing address:
  • Phone: 505-867-7452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberFA0069160
License Number StateNM

VIII. Authorized Official

Name: MR. SEAN DENIS MURPHY
Title or Position: DIRECTOR OF OPERATIONS NEW MEXICO
Credential: LADAC
Phone: 505-232-9115