Organization
JUNTOS PODEMOS II, INC / DAVID IBARBO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HUMBERTO IBARBO LADAC (DIRECTOR/OWNER)
(505) 507-3536
Entity
Organization
Contact information
Practice address
2715 4TH ST NW, ALBUQUERQUE, NM 87107-1329
(505) 242-4533
(505) 242-4240
Mailing address
2715 4TH ST NW, ALBUQUERQUE, NM 87107-1329
(505) 242-4533
(505) 242-4240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADAC 3668
NM
251B00000X
Case Management Agency
LADAC 3668
NM
251S00000X
Community/Behavioral Health Agency
Primary
3668
NM
252Y00000X
Early Intervention Provider Agency
LADAC 3668
NM
Other
Enumeration date
07/07/2009
Last updated
08/04/2016
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