Organization
MISSION VALLEY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYELY GONZALEZ (ADMIN)
(915) 383-6367
Entity
Organization
Contact information
Practice address
9425 CONEJO LN, EL PASO, TX 79907-5613
(915) 329-8149
Mailing address
9425 CONEJO LN, EL PASO, TX 79907-5613
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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