Cenikor Foundation
Clinic/Center, Rehabilitation, Substance Use Disorder in Farmington, NM. Organization (NPI-2).
NPI number1861062168
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1861062168
- Entity type
- Organization (NPI-2)
- Legal business name
- Cenikor Foundation
- Organization subpart
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208D00000X | General Practice | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Cenikor Fundation (Other Name)
Practice location
1313 Mission Ave NeFarmington, NM 87401
Phone 505-327-7218
Mailing address
Po Box 4785 Mcs# 675Houston, TX 77210
Phone 713-266-9944 · Fax 713-574-2940
Authorized official
Spencer Dickey
Manager Payer Relations
8069282447
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