Organization
CROSSROADS FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY LEE (EXECUTIVE DIRECTOR)
(505) 242-1010
Entity
Organization
Contact information
Practice address
239 ELM STREET NE, ALBUQUERQUE, NM 87102
(505) 242-1010
(505) 242-1551
Mailing address
239 ELM STREET NE, ALBUQUERQUE, NM 87102
(505) 242-1010
(505) 242-1551
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NONE
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM600263
VALUEOPTIONS ID NUMBER
NM
01
—
VNM300443
VALUE OPTION VENDOR NUMBE
NM
Enumeration date
05/11/2007
Last updated
08/17/2022
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