Organization
NMDOH FAMILY INFANT TODDLER PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GOMM (EARLY CHILDHOOD COORDINATOR)
(505) 827-2578
Entity
Organization
Contact information
Practice address
1190 SAINT FRANCIS DRIVE, SANTA FE, NM 87502-6110
(505) 827-1711
(505) 827-2455
Mailing address
1190 SAINT FRANCIS DRIVE, PO BOX 26110, SANTA FE, NM 87502-6110
(505) 827-1711
(505) 827-2455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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