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Organization
NEW LIFE CENTER FOR FAMILY DEVELOPMENT
Active
Organization
NEW LIFE CENTER FOR FAMILY DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LEON MILLER JR. LISW (PRESIDENT)
(505) 323-3665
Entity
Organization
Contact information
Practice address
8338 COMANCHE RD NE, B, ALBUQUERQUE, NM 87110-2304
(505) 323-3665
(505) 323-1038
Mailing address
8338 COMANCHE NE, B, ALBUQUERQUE, NM 87110
(505) 323-3665
(505) 323-1038
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10006701
LOVELACE HEALTH PLAN
NM
05
—
34083260
—
NM
01
—
76804
PRESBYTERIAN HEALTH PLAN
NM
01
—
NM00JB93
BLUE CROSS BLUE SHIELD NM
NM
Enumeration date
07/31/2006
Last updated
05/14/2009
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