Organization
THE SAVILA COLLABORATIVE
Active
Other names
Centro Savila
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G WAGNER PHD, LISW (EXECUTIVE DIRECTOR)
(505) 604-1640
Entity
Organization
Contact information
Practice address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 312-7296
Mailing address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 312-7296
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-3886
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39100201
—
NM
Enumeration date
08/14/2012
Last updated
07/29/2013
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