Charles Baca in Grants - Addiction (substance Use Disorder)
Charles Baca - NPI 1659563609
Charles Baca is a Addiction (substance Use Disorder) in Grants, New Mexico. Charles Baca practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Charles Baca is 1659563609. The last update date is 2007-08-14.
Charles Baca's current location address is 617 Jackson Ave Apt B, Grants, New Mexico. You can contact this provider via phone number 5059828870 and fax number 5059820620. The mailing address for Charles Baca is 617 Jackson Ave Apt B, Grants, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Baca |
|---|---|
| Address | 617 Jackson Ave Apt B, Grants, New Mexico |
| Phone Number | 5059828870 |
| Fax Number | 5059820620 |
| Sole Proprietor | N |
| Credentials | LADAC |
NPI Number Detail
| NPI Number | 1659563609 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 617 Jackson Ave Apt B |
|---|---|
| City | Grants |
| State | New Mexico (NM) |
| Post Code | 870202908 |
| Phone Number | 5059828870 |
| Fax Number | 5059820620 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 64141 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Charles Baca by the Centers for Medicare & Medicaid Services (CMS)?
The Charles Baca has been assigned the NPI (National Provider Identifier) 1659563609. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Charles Baca?
The Charles Baca is situated at 617 Jackson Ave Apt B, in the city of Grants, state of NM, with the zip code 870202908.
What is Charles Baca's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles Baca is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
When did Charles Baca receive its 1659563609 assignment?
The Charles Baca was assigned its 1659563609 on 2007-08-14, which is the date when this unique identifier was issued to the organization.
As of what date were the Charles Baca's details last updated?
The information pertaining to the Charles Baca, including its address, specialty, and other details, was most recently updated on 2007-08-14.