Organization
VALLE DEL SOL OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA ADAN (QM LICENSING SPECIALIST)
(602) 258-6797
Entity
Organization
Contact information
Practice address
282 S CAMINO DEL PUEBLO, SUITE 2C, BERNALILLO, NM 87004-5909
(602) 258-6797
(602) 248-8113
Mailing address
3807 N 7TH ST, PHOENIX, AZ 85014-5005
(602) 258-6797
(602) 248-8113
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43529062
—
NM
Enumeration date
06/28/2013
Last updated
08/13/2013
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