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Organization
INNER PEACE OUTREACH
Active
Organization
INNER PEACE OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY HARRING (CREDENTIALING SPECIALIST)
(678) 761-5956
Entity
Organization
Contact information
Practice address
3107 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87110-1921
(505) 712-6447
Mailing address
211 CLAREMONT AVE NE, ALBUQUERQUE, NM 87107-1513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
01/13/2021
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