OrganizationActive
Residential Crf, Inc
NPI 1942306790 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Las Vegas, NM
Provider details
- NPI number
- 1942306790
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kim Wright, Accounting Assistant(765) 827-6996
- License
- 1835362 (IN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 1835362 (IN)
Residential Treatment Facilities
Practice location
624 University Ave
Suite 500
Las Vegas, NM 87701-4278
Phone: (505) 425-5429
Fax: (505) 425-5379
Approximate (ZIP-level) locationGet directions
Mailing address
1117 N Central Ave
Connersville, IN 47331-2126
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.