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Organization

OPEN HEARTS SUPPORTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY VICTORIA KNUTSON-JONES BA, PSYCHOLOGY (PRESIDENT/ DIRECTOR)
(505) 897-7273
Entity
Organization

Contact information

Practice address
10023 CALABACILLAS CT NW, ALBUQUERQUE, NM 87114-5825
(505) 897-7273
(505) 897-7273
Mailing address
10023 CALABACILLAS CT NW, ALBUQUERQUE, NM 87114-5825
(505) 897-7273
(505) 897-7273

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
03/12/2014
Last updated
03/12/2014
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