Organization
NEW MEXICO AFTER SCHOOL ENRICHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HOBBS MPH, OTR/L (CEO)
(505) 379-1793
Entity
Organization
Contact information
Practice address
3777 CORRALES RD, CORRALES, NM 87048-9140
(505) 379-1793
Mailing address
3777 CORRALES RD, CORRALES, NM 87048-9140
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1147
NM
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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