# NORTHEAST REGIONAL EDUCATION COOPERATIVE

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

## Provider details

- **NPI number:** 1932354768
- **Authorized official:** DR. JAMES ADRIAN ABREU (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (505) 454-3523

## Contact information

- **Practice address:** HWY 518 RANGER DRIVE, MORA, NM 87732
- **Practice address phone:** (505) 426-2262
- **Practice address fax:** (505) 454-1473
- **Mailing address:** P.O. BOX 927, LAS VEGAS, NM 87701
- **Mailing address phone:** (505) 426-2262
- **Mailing address fax:** (505) 454-1473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 11/18/2011