Organization
CASA AMABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEE (THERAPIST)
(505) 265-1575
Entity
Organization
Contact information
Practice address
13336 LODESTONE TRL SE, ALBUQUERQUE, NM 87123-1089
(505) 265-1575
Mailing address
PO BOX 50726, ALBUQUERQUE, NM 87181-0726
(505) 265-1575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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