Organization
JD BEHAVIORAL SUPPORTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE E DUGGINS LISW (DIRECTOR)
(505) 259-2802
Entity
Organization
Contact information
Practice address
425 PASEO VISTA LOOP NE, RIO RANCHO, NM 87124-4549
(505) 259-2802
(505) 892-2380
Mailing address
425 PASEO VISTA LOOP NE, RIO RANCHO, NM 87124-4549
(505) 259-2802
(505) 892-2380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
X-07553
NM
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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