Organization
EMPOWERING OUR COMMUNITIES NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY A MOORE MPA (EXECUTIVE DIRECTOR)
(505) 867-3374
Entity
Organization
Contact information
Practice address
125A CALLE DON FRANCISCO, BERNALILLO, NM 87004
(505) 867-3374
(505) 867-1357
Mailing address
PO BOX 757, BERNALILLO, NM 87004
(505) 867-3374
(505) 867-1357
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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