Santa Maria El Mirador
NPI #1619150463 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1619150463
- Entity Type
- Organization
- Organization Name
- Santa Maria El Mirador
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Dec 14, 2007
- Last Updated
- Dec 14, 2007
Practice Location
- Address
- 2041 S PACHECO ST
- Address 2
- SUITE 100
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-5473
- Phone
- (505) 424-7700
Authorized Official
- Name
- MR. ELOY F DURAN
- Title
- DEPUTY DIRECTOR OF FINANCE
- Phone
- (505) 428-2004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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