OrganizationActive
Expressions of Life
NPI 1649296252 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Albuquerque, NM
Provider details
- NPI number
- 1649296252
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Carol Lynn Montoya-Herrera, Director
- License
- 02-942112-00-8 (NM)
Practice location
3811 Atrisco Dr Nw Ste C
Albuquerque, NM 87120-4903
Phone: (505) 831-6250
Fax: (505) 831-6254
Mailing address
3811 Atrisco Dr Nw Ste C
Albuquerque, NM 87120-4903
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.