Organization
NORTHERN NM VOCATIONAL TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R REINBOLT (EXECUTIVE DIRECTOR)
(505) 852-4585
Entity
Organization
Contact information
Practice address
1860 HIGHWAY 68, EMBUDO, NM 87531-0273
(505) 852-4585
Mailing address
1860 HIGHWAY 68, BOX 273, EMBUDO, NM 87531-0273
(505) 852-4585
(505) 852-4585
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D4191
—
NM
Enumeration date
01/07/2007
Last updated
08/22/2020
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