Coyote Canyon Rehabilitation Center, Inc
Coyote Canyon Rehabilitation Center, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brimhall, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.
- Licensed in
- NM
- In the registry since
- 2011
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10 Miles East Navajo Rte #9Brimhall, NM 87310
Phone: (505) 735-2261
Fax: (505) 735-2013
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (NM) |
|---|
Record details
| NPI number | 1255622965 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Macdonald Avery — Executive Director · (505) 735-2002 |
| NPI enumerated | April 28, 2011 |
| Last updated in NPPES | April 28, 2011 |
| Mailing address | Po Box 158, Brimhall, NM 87310-0158 |