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Organization

NAVA DRUG & ALCOHOL

Active
Other names
Nava Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEE KING LADAC, CGC (OWNER AND DIRECTOR)
(505) 524-2505
Entity
Organization

Contact information

Practice address
715 E IDAHO AVE STE 4B, LAS CRUCES, NM 88001-4700
(505) 524-2505
(505) 524-2504
Mailing address
PO BOX 1078, LAS CRUCES, NM 88004-1078
(505) 524-2505
(505) 524-2504

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM600345
VALUEOPTIONS PROVIDER ID
NM
Enumeration date
01/25/2007
Last updated
04/14/2009
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