Organization
NEW LIFE CENTER FOR FAMILY DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LEON MILLER JR. LISW (PRESIDENT)
(505) 323-3665
Entity
Organization
Contact information
Practice address
8338 COMANCHE RD NE, B, ALBUQUERQUE, NM 87110-2304
(505) 323-3665
(505) 323-1038
Mailing address
8338 COMANCHE NE, B, ALBUQUERQUE, NM 87110
(505) 323-3665
(505) 323-1038
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10006701
LOVELACE HEALTH PLAN
NM
05
—
34083260
—
NM
01
—
76804
PRESBYTERIAN HEALTH PLAN
NM
01
—
NM00JB93
BLUE CROSS BLUE SHIELD NM
NM
Enumeration date
07/31/2006
Last updated
05/14/2009
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