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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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