Organization
ACORNS TO OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DOYLE (EXECUTIVE DIRECTOR)
(505) 332-2402
Entity
Organization
Contact information
Practice address
5345 WYOMING BLVD NE, SUITE 105, ALBUQUERQUE, NM 87109-3148
(505) 332-2402
Mailing address
PO BOX 16655, ALBUQUERQUE, NM 87191-6655
(505) 332-2402
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000A1361
PROVIDER NUMBER
NM
01
—
67205330
PROVIDER NUMBER
NM
Enumeration date
05/27/2008
Last updated
05/27/2008
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