Organization
NORTH FOURTH ART CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARJORIE M NESET (EXECUTIVE DIRECTOR)
(505) 345-2872
Entity
Organization
Contact information
Practice address
4904 4TH ST NW, ALBUQUERQUE, NM 87107-3906
(505) 345-2872
(505) 345-2896
Mailing address
4904 4TH ST NW, ALBUQUERQUE, NM 87107-3906
(505) 345-2872
(505) 345-2896
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1126820
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D1281
—
NM
Enumeration date
03/22/2007
Last updated
01/17/2020
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