| Cenikor Fundation | |
|
1313 Mission Ave Ne Farmington NM 87401 | |
| (505) 327-7218 | |
| Not Available |
| Full Name | Cenikor Fundation |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1313 Mission Ave Ne, Farmington, New Mexico |
| Authorized Official Name and Position | Natalia Pokhozhay (REVENUE INTEGRITY SUPERVISOR) |
| Authorized Official Contact | 7133412761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cenikor Fundation Po Box 4785 Mcs# 675 Houston TX 77210 Ph: (713) 266-9944 | Cenikor Fundation 1313 Mission Ave Ne Farmington NM 87401 Ph: (505) 327-7218 |
| NPI Number | 1861062168 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861062168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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