Organization
SELF DIRECTED OPTIONS
Active
Other names
AAA Participant Direction
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MURLEY (PRESIDENT)
(505) 450-5974
Entity
Organization
Contact information
Practice address
4300 SILVER AVE SE, SUITE B, ALBUQUERQUE, NM 87108-2748
(505) 450-5974
(888) 334-7353
Mailing address
4300 SILVER AVE SE, SUITE B, ALBUQUERQUE, NM 87108-2748
(505) 450-5974
(888) 334-7353
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68289758
—
NM
Enumeration date
02/10/2014
Last updated
02/10/2014
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