Organization
SHARED VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KARY SANCHEZ MSW (DIRECTOR)
(505) 306-9136
Entity
Organization
Contact information
Practice address
54 CUT TREE LN, BELEN, NM 87002-8224
(505) 306-9136
Mailing address
54 CUT TREE LN, BELEN, NM 87002-8224
(505) 306-9136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C0938
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0938
NM LICENSURE
NM
Enumeration date
01/25/2017
Last updated
01/25/2017
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