Organization
CALYX INSTITUTE LLC
Active
Other names
The Calyx Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TRUE (EXECUTIVE DIRECTOR)
(505) 652-7065
Entity
Organization
Contact information
Practice address
10701 LOMAS BLVD NE, STE. 101, ALBUQUERQUE, NM 87112
(505) 379-3654
Mailing address
PO BOX 1194, TIJERAS, NM 87059-1194
(505) 652-7065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33188301
—
NM
Enumeration date
09/14/2017
Last updated
12/08/2018
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