Organization
COPPERTOP SERVICES, LLC
Active
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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