OrganizationActive
Transitional Living Services, Inc.
NPI 1598069338 · Mental Illness Community Based Residential Treatment Facility · Albuquerque, NM
Provider details
- NPI number
- 1598069338
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gary Jackson, Executive Director(505) 268-5295
- License
- I05341 (NM)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5601 Domingo Rd Ne
Albuquerque, NM 87108-1610
Phone: (505) 268-5295
Fax: (505) 268-9967
Approximate (ZIP-level) locationGet directions
Mailing address
5601 Domingo Rd Ne
Albuquerque, NM 87108-1610
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2011-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.