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Organization

CATHOLIC CHARITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KATHLEEN SULLIVAN PHD (DIRECTOR OF COMMUNITY SUPPORT)
(505) 424-9789
Entity
Organization

Contact information

Practice address
4985 AIRPORT RD, SANTA FE, NM 87507-1802
(505) 424-9789
(505) 424-9792
Mailing address
4985 AIRPORT RD, SANTA FE, NM 87507-1802
(505) 424-9789
(505) 424-9792

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
56736851
NM
Enumeration date
12/13/2006
Last updated
07/21/2022
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