On Wings Like Eagles, LLC
NPI #1073835963 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1073835963
- Entity Type
- Organization
- Organization Name
- On Wings Like Eagles, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 19, 2010
- Last Updated
- Feb 19, 2010
Practice Location
- Address
- 1435 PECOS ST
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-4335
- Phone
- (575) 522-1422
Authorized Official
- Name
- MR. EDWARD GENE KRUIS, LPCC, LADAC
- Title
- OWNER/PROVIDER
- Phone
- (575) 650-0071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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