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
08/03/2026
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