Organization
CASA FORTALEZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WOLFF FRANCIS LISW (OWNER)
(505) 485-4826
Entity
Organization
Contact information
Practice address
2425 ALAMO AVE SE, ALBUQUERQUE, NM 87106-3234
(505) 485-4826
Mailing address
PO BOX 36594, ALBUQUERQUE, NM 87176-6594
(505) 485-4826
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I05918
NM
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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