Organization
A CENTER FOR FUNCTION AND CREATIVITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HOBBS (CEO)
(505) 890-0868
Entity
Organization
Contact information
Practice address
10701 CORRALES BLVD NW, SUITE 17, ALBUQUERQUE, NM 87114-1087
(505) 890-0868
(505) 898-0169
Mailing address
10701 CORRALES BLVD NW, SUITE 17, ALBUQUERQUE, NM 87114-1087
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
75988721
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75988721
—
NM
Enumeration date
04/06/2011
Last updated
04/06/2011
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