Organization
STATE OF NEW MEXICO
Active
Other names
Children's Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN CHRISTIANSEN LMSW (PROGRAM DIRECTOR)
(505) 476-8851
Entity
Organization
Contact information
Practice address
2040 S PACHECO ST, SANTA FE, NM 87505-5472
(505) 476-8868
(505) 476-8896
Mailing address
2040 S PACHECO ST, SANTA FE, NM 87505-5472
(505) 476-8868
(505) 476-8896
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00049023
—
NM
05
—
64372766
—
NM
Enumeration date
01/05/2007
Last updated
06/26/2008
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