Organization
COPPERTOP SERVICES, LLC
Active
Other names
Telos Community Inclusion, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
IAN COLLYER (EXECUTIVE DIRECTOR)
(505) 900-1933
Entity
Organization
Contact information
Practice address
119 INDUSTRIAL AVE NE, ALBUQUERQUE, NM 87107-2283
(505) 721-9703
Mailing address
13644 N RIM RD NE, ALBUQUERQUE, NM 87112-6399
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
07/01/2024
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