Organization
HEADING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODIE LYNN JEPSON (EXECUTIVE DIRECTOR)
(505) 344-2323
Entity
Organization
Contact information
Practice address
715 CANDELARIA RD NE, ALBUQUERQUE, NM 87107-2122
(505) 344-2323
Mailing address
PO BOX 27636, ALBUQUERQUE, NM 87125-7636
(505) 344-2323
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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