Organization
ANA RIO RANCHO LTD CO
Active
Other names
A NEW AWAKENING RIO RANCHO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE M ROMERO BSW (SOLE MEMBER)
(505) 994-4100
Entity
Organization
Contact information
Practice address
1603 GOLF COURSE RD SE # A, RIO RANCHO, NM 87124-1762
(505) 994-4100
(505) 994-1229
Mailing address
1603 GOLF COURSE RD SE # A, RIO RANCHO, NM 87124-1762
(505) 994-4100
(505) 994-1229
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3468
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3468
NM LICENSE
NM
Enumeration date
09/10/2009
Last updated
01/25/2011
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