Organization
AMISTAD Y RESOLANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO J RIVERA (DIRECTOR)
(505) 617-5846
Entity
Organization
Contact information
Practice address
713 RAILROAD AVE, LAS VEGAS, NM 87701-4532
(505) 617-5846
(505) 454-7198
Mailing address
713 RAILROAD AVE, LAS VEGAS, NM 87701-4532
(505) 617-5846
(505) 454-7198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3730
NM
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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