| Cgc Llc | |
|
2444 Plaza Vizcaya Nw Albuquerque NM 87104-2936 | |
| (505) 318-5750 | |
| Not Available |
| Full Name | Cgc Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2444 Plaza Vizcaya Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Nona Collins (OWNER) |
| Authorized Official Contact | 5053185750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cgc Llc Po Box 45681 Rio Rancho NM 87174-5681 Ph: (505) 318-5750 | Cgc Llc 2444 Plaza Vizcaya Nw Albuquerque NM 87104-2936 Ph: (505) 318-5750 |
| NPI Number | 1437832532 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437832532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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