Organization
NUEVO AMANECER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN MARIA AGUILAR LSCSW (OWNER)
(316) 807-5055
Entity
Organization
Contact information
Practice address
2312 S MERIDIAN AVE STE 102, WICHITA, KS 67213-1912
(316) 807-5055
Mailing address
2750 S GLENN AVE, WICHITA, KS 67217-1843
(316) 807-5055
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
12/08/2021
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