Organization
HIGH DESERT FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS JAMES LISW (CEO)
(505) 823-4530
Entity
Organization
Contact information
Practice address
7001 PROSPECT PL NE STE 100, ALBUQUERQUE, NM 87110-4315
(505) 823-4530
(505) 823-4538
Mailing address
7001 PROSPECT PL NE STE 100, ALBUQUERQUE, NM 87110-4315
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
T-0147511
NM
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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