Organization
A NEW DAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL WHITE LISW (CLINICAL SUPERVISOR)
(505) 860-6060
Entity
Organization
Contact information
Practice address
1424 DEBORAH RD SE, SUITE 205, RIO RANCHO, NM 87124-1058
(505) 892-4646
(505) 892-4775
Mailing address
1424 DEBORAH RD. SE STE 205, RIO RANCHO, NM 87124
(505) 892-4646
(505) 892-4775
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-07119
NM
Other
Enumeration date
01/22/2010
Last updated
02/02/2010
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