MEDICARE: TENDERLOVE COMMUNITY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QM0850X	Adult Mental Health Clinic/Center
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
5	324500000X	Substance Abuse Rehabilitation Facility
6	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1326995176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDERLOVE COMMUNITY CENTER

Provider Business Mailing Address
First Line	:	PO BOX 65156
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87193-5156
Country	:	US
Telephone Number	:	505-349-1795
Fax Number	:

Provider Business Practice Location Address
First Line	:	1518 GIRARD BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-1823
Country	:	US
Telephone Number	:	505-349-1795
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEBORAH JOHNSON
Credential	:
Telephone Number	:	505-349-1795

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “TENDERLOVE COMMUNITY CENTER ” Practice Location

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