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Organization

AMISTAD FAMILY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DERYL W. PALMER LISW (BOARD OF DIRECTOR)
(575) 642-7557
Entity
Organization

Contact information

Practice address
3100 OAK ST, LAS CRUCES, NM 88005
(575) 523-2288
(575) 523-2299
Mailing address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 523-2288

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
251S00000X
Community/Behavioral Health Agency
Primary
I-06859
NM

Other

Enumeration date
05/25/2011
Last updated
03/27/2024
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