Organization
A&M
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DILLANDER (CO-CEO)
(505) 573-0782
Entity
Organization
Contact information
Practice address
1401 2ND ST SW, ALBUQUERQUE, NM 87102-4361
(505) 573-0782
Mailing address
315 BLACK HAT AVE SW, LOS LUNAS, NM 87031-6394
(505) 274-3556
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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