Organization
NEW VISTAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD I GARCIA (EXECUTIVE DIRECTOR)
(505) 471-1001
Entity
Organization
Contact information
Practice address
1205 PARKWAY DR STE A, SANTA FE, NM 87507-6201
(505) 471-1001
(505) 424-4778
Mailing address
1205 PARKWAY DR STE A, SANTA FE, NM 87507-6201
(505) 471-1001
(505) 424-4778
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D0735
—
NM
05
—
000E7214
—
NM
01
—
223
NM DEPT OF HEALTH ID
NM
Enumeration date
01/11/2007
Last updated
08/22/2020
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