Ben Graywolf in Albuquerque - Addiction (substance Use Disorder)

Ben Graywolf - NPI 1760563001

Ben Graywolf is a Addiction (substance Use Disorder) in Albuquerque, New Mexico. Ben Graywolf practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ben Graywolf is 1760563001. The last update date is 2007-07-08.

Ben Graywolf's current location address is 1217 1st St Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5053446738 and fax number 5053441862. The mailing address for Ben Graywolf is 1217 1st St Nw, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Ben Graywolf
Address 1217 1st St Nw, Albuquerque, New Mexico
Phone Number 5053446738
Fax Number 5053441862
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1760563001
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1217 1st St Nw
City Albuquerque
State New Mexico (NM)
Post Code 871021529
Phone Number 5053446738
Fax Number 5053441862

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No OO79341
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Ben Graywolf

What is the unique identifier code issued to Ben Graywolf by the Centers for Medicare & Medicaid Services?

The Ben Graywolf has been assigned the NPI (National Provider Identifier) 1760563001. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Ben Graywolf?

The Ben Graywolf is situated at 1217 1St St Nw, in the city of Albuquerque, state of NM, with the zip code 871021529.

What is Ben Graywolf's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ben Graywolf is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760563001 to Ben Graywolf?

The Centers for Medicare & Medicaid Services originally issued the 1760563001 to Ben Graywolf on 2006-10-17.

As of what date were the Ben Graywolf's details last updated?

The information pertaining to the Ben Graywolf, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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