State of New Mexico-Altsd
NPI #1376089672 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1376089672
- Entity Type
- Organization
- Organization Name
- State of New Mexico-Altsd
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 10, 2017
- Last Updated
- Jan 10, 2017
Practice Location
- Address
- 2550 CERRILLOS ROAD
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505
- Phone
- (505) 476-4577
Authorized Official
- Name
- CARLOS L MOYA
- Title
- DIVISION DIRECTOR
- Phone
- (505) 476-4577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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