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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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