Organization
NEW HEARTS DIMENSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZAIDA ABRAHAM LISW (OWNER)
(575) 932-8510
Entity
Organization
Contact information
Practice address
1990 E LOHMAN AVE, LAS CRUCES, NM 88001-3172
(575) 932-8510
Mailing address
PO BOX 168, 65 FAULKNER CANYON RD, RADIUM SPRINGS, NM 88054-0168
(575) 932-8510
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I06441
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09239707
—
NM
Enumeration date
02/26/2009
Last updated
02/26/2009
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