Organization
AYUDANTES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIOLANDA NUNEZ LISW (EXECUTIVE DIRECTOR)
(505) 438-0035
Entity
Organization
Contact information
Practice address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532-2811
(505) 747-0102
Mailing address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532-2811
(505) 747-0102
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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