Organization
A NEW AWAKENING - LAS CRUCES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA KATHERINE MCKEEN LPCC (CHIEF OPERATIONS OFFICER)
(505) 224-9124
Entity
Organization
Contact information
Practice address
600 1ST ST NW STE 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
(505) 247-9503
Mailing address
835 SPRUCE AVE, LAS CRUCES, NM 88001-2352
(575) 993-5200
(505) 247-9503
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0078391
NM
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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