Organization
ANGELS WITH BROKEN WINGS NM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GINGER SHANNON CPSW, CCSS (CEO/ PRESIDENT)
(575) 288-8766
Entity
Organization
Contact information
Practice address
609 E AMADOR AVE, LAS CRUCES, NM 88001-3309
(575) 259-4124
Mailing address
609 E AMADOR AVE, LAS CRUCES, NM 88001-3309
(575) 259-4124
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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