Organization
RIDE TO PRIDE PARTNERSHIP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE ESQUIBEL (EXECUTIVE DIRECTOR)
(505) 454-9738
Entity
Organization
Contact information
Practice address
47 ALAMEDA RD, LAS VEGAS, NM 87701-3996
(505) 454-9738
(505) 425-9285
Mailing address
PO BOX 806, LAS VEGAS, NM 87701-0806
(505) 454-9738
(505) 425-9285
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
X-08729
NM
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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