Organization
KIDS IN NEED OF SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE KEE LISW (DIRECTOR)
(575) 956-7209
Entity
Organization
Contact information
Practice address
610 N SILVER ST, SILVER CITY, NM 88061-6779
(575) 388-2414
(575) 388-2457
Mailing address
2311 RANCH CLUB RD., PMB 408, SILVER CITY, NM 88061-4627
(575) 388-2414
(575) 388-2457
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
08/08/2013
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