Healthcare Provider Details

I. General information

NPI: 1881089332
Provider Name (Legal Business Name): NEW MEXICO TREATMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 E APACHE ST
FARMINGTON NM
87401-6925
US

IV. Provider business mailing address

607 E APACHE ST
FARMINGTON NM
87401-6925
US

V. Phone/Fax

Practice location:
  • Phone: 505-326-2012
  • Fax: 505-326-2939
Mailing address:
  • Phone: 563-593-8257
  • Fax: 150-532-6293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberLPN-21303
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: SCOTT THOMPSON
Title or Position: CEO
Credential:
Phone: 918-289-0270