# FREE INDEED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598508152
- **Authorized official:** ONECIMO MIRABAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (505) 804-2899

## Contact information

- **Practice address:** 3080 DESERT SAGE AVE SW, LOS LUNAS, NM 87031-6577
- **Practice address phone:** (505) 804-2899
- **Mailing address:** 3080 DESERT SAGE AVE SW, LOS LUNAS, NM 87031-6577
- **Mailing address phone:** (505) 804-2899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/13/2024
- **Last updated:** 01/31/2025