Organization
NATIONAL LATINO BEHAVIORAL HEALTH ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED R. SANDOVAL MPA (EXECUTIVE DIRECTOR)
(505) 980-5156
Entity
Organization
Contact information
Practice address
6555 ROBIN ST, COCHITI LAKE, NM 87083-6025
(505) 980-5156
Mailing address
PO BOX 1360, PENA BLANCA, NM 87041-1360
(505) 980-5156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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