Organization
PARTNERS IN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA M. MORA (BILLING SPECIALIST)
(505) 866-2303
Entity
Organization
Contact information
Practice address
750 MORRIS ROAD SW, LOS LUNAS, NM 87031
(505) 866-2300
(505) 866-2309
Mailing address
750 MORRIS ROAD SW, LOS LUNAS, NM 87031
(505) 866-2300
(505) 866-2309
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36726575
—
NM
Enumeration date
06/09/2009
Last updated
09/14/2012
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