Organization
ALBUQUERQUE HEALTH CARE FOR THE HOMELESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER METZLER (EXECUTIVE DIRECTOR)
(505) 766-5197
Entity
Organization
Contact information
Practice address
1217 FIRST ST. NW, ALBUQUERQUE, NM 87102
(505) 766-5197
(505) 766-6945
Mailing address
PO BOX 25445, ALBUQUERQUE, NM 87125-0445
(505) 766-5197
(505) 766-6945
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6783
NM
324500000X
Substance Abuse Rehabilitation Facility
—
—
3336C0002X
Clinic Pharmacy
CL00007301
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45385
—
NM
Enumeration date
10/03/2006
Last updated
01/08/2009
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