Organization
LAS CUMBRES COMMUNITY SERVICES
Active
Other names
Las Cumbres Learning Services
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA J BISSELL MPH (COO)
(857) 523-0654
Entity
Organization
Contact information
Practice address
404 HUNTER ST, ESPANOLA, NM 87532-2655
(505) 753-4123
(505) 753-6947
Mailing address
102 N CORONADO AVE, ESPANOLA, NM 87532-2700
(857) 523-0654
(505) 753-6947
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
6652
NM
251S00000X
Community/Behavioral Health Agency
Primary
6652
NM
385HR2055X
Child Mental Illness Respite Care
6653
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053460287
—
NM
05
—
E7436
—
NM
Enumeration date
01/09/2007
Last updated
07/20/2022
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