Organization
HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG DILL (RECEIVER)
(505) 459-3030
Entity
Organization
Contact information
Practice address
110 2ND ST SW STE 605, ALBUQUERQUE, NM 87102
(505) 459-3030
Mailing address
PO BOX 7855, ALBUQUERQUE, NM 87194-7855
(505) 459-3030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57804575
—
NM
Enumeration date
05/13/2015
Last updated
02/06/2019
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