Organization
STARTLINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MUNOZ (OWNER)
(575) 202-1785
Entity
Organization
Contact information
Practice address
644 E PAPEN MEMORIAL PLZ, LAS CRUCES, NM 88001-3477
(575) 202-1785
(575) 644-8012
Mailing address
644 E PAPEN MEMORIAL PLZ, LAS CRUCES, NM 88001-3477
(575) 202-1785
(575) 644-8012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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