OrganizationActive
Coyote Canyon Rehabilitation Center, Inc.
NPI 1255622965 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Brimhall, NM
Provider details
- NPI number
- 1255622965
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Macdonald Avery, Executive Director(505) 735-2002
Specialties & taxonomies
Residential Treatment Facilities
Practice location
10 Miles East Navajo Route #9
Brimhall, NM 87310
Phone: (505) 735-2261
Fax: (505) 735-2013
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 158
Brimhall, NM 87310-0158
Registry dates
- Enumerated
- 2011-04-28
- Last updated
- 2011-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.