Organization
SUSAN'S LEGACY
Active
Organization
SUSAN'S LEGACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN D. WEIL PHD (EXECUTIVE DIRECTOR)
(505) 843-8450
Entity
Organization
Contact information
Practice address
8100 MOUNTAIN RD. NE, SUITE 200, ALBUQUERQUE, NM 87110
(505) 843-8450
(505) 843-8449
Mailing address
11005 SPAIN NE, ALBUQUERQUE, NM 87111
(505) 843-8450
(505) 843-8449
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
04/29/2014
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