OrganizationActive
Making an Impact LLC
NPI 1699427344 · Substance Use Disorder Rehabilitation Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1699427344
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brooke Sguardo, Vp(480) 299-2385
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
8601 Golf Course Rd Nw
Albuquerque, NM 87114-5775
Phone: (719) 651-7585
Approximate (ZIP-level) locationGet directions
Mailing address
8601 Golf Course Rd Nw
Albuquerque, NM 87114-5775
Other names (DBA / former)
- Doing business as
- Icarus Behavioral Health
- Doing business as
- Icarus Behavioral Health
Registry dates
- Enumerated
- 2022-01-24
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.