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Organization

YOUTH SHELTERS

Active
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Organization

YOUTH SHELTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOREEN E MCCURLEY MSW (CASE COORDINATOR)
(505) 438-0502
Entity
Organization

Contact information

Practice address
5686 AGUA FRIA ST, SANTA FE, NM 87507-9001
(505) 438-0502
(505) 438-0504
Mailing address
5686 AGUA FRIA ST, SANTA FE, NM 87507-9001
(505) 438-0502
(505) 438-0504

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
09/21/2009
Last updated
09/21/2009
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