DISMAS HOUSE
Residential Treatment Facilities at Candelaria, Albuquerque, NM

License number
New Mexico NPI#1902918055
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: MR. JAMES GIVENS
Title: COMMUNITY SERVICE WORKER
Phone: (505) 343-0746
Address
Address
701 Candelaria Rd, Albuquerque, NM 87108
National Provider ID: 1205219771
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dismas House New Mexico, Inc

Albuquerque, NM

Industry:
Individual/Family Services
Phone:
(505) 343-0746 (Phone)
Addresses:
PO Box 6101, Albuquerque, NM 87197
701 Candelaria Rd NW, Albuquerque, NM 87107
Directors:
Rusty Smith (Executive Director),Peter Rinn Executive Director, inactive,Carol Boss Administration, inactive,...

DISMAS HOUSE NEW MEXICO, INC

Albuquerque, NM

Status:
Inactive
Registration:
Feb 9, 2001
Addresses:
PO Box 27258, Albuquerque, NM 87125 (Mailing)
1201 3 St Nw  , Albuquerque, NM 87102 (Physical)
State ID:
2147064
Business type:
Domestic Nonprofit
Secretarys:
Frances Lesher (President),Mark Fidel (Vice President),David Bruner (Treasurer),...
Agent:
Cheryl James,4514 Central Ave SE, Albuquerque, NM 87108 (Physical)

Dismas House New Mexicomain Office

4514 Central Ave SE, Albuquerque, NM 87108

Status:
Inactive
Industry:
Nonclassifiable Establishments

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