Organization
CACTUS FRUIT CLOUD COLLABORATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE B. SANCHEZ LCSW (DIRECTOR)
(505) 554-9327
Entity
Organization
Contact information
Practice address
920 LOMAS BLVD NW, ALBUQUERQUE, NM 87102-1954
(505) 554-9327
Mailing address
920 LOMAS BLVD NW, ALBUQUERQUE, NM 87102-1954
(505) 554-9327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10236
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063833747
—
NM
Enumeration date
01/30/2018
Last updated
01/30/2018
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