Organization
UNDER HIS CONSTRUCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA LIA CLEVELAND CPSW (CEO)
(505) 814-4747
Entity
Organization
Contact information
Practice address
4700 CENTRAL AVE SE, ALBUQUERQUE, NM 87108-1225
(505) 814-4747
Mailing address
PO BOX 81005, ALBUQUERQUE, NM 87198-1005
(505) 814-4747
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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