Organization
FIRST RESORT INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J ROGERS LISW (OWNER)
(505) 417-8949
Entity
Organization
Contact information
Practice address
7112 MINUTEMAN DR NE, ALBUQUERQUE, NM 87109-5033
(505) 417-8949
Mailing address
PO BOX 1659, CORRALES, NM 87048-1659
(505) 417-8949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2156
NM
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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