Organization
HOUSE OF HEARTS
Active
Parent organization
HOUSE OF HEARTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSE OF HEARTS
Authorized official
WILLIAM S KEENAN (DIRECTOR)
(505) 977-2074
Entity
Organization
Contact information
Practice address
2612 CHELWOOD PARK BLVD NE, ALBUQUERQUE, NM 87112-1978
(505) 506-7901
(505) 294-1278
Mailing address
2612 CHELWOOD PARK BLVD NE, ALBUQUERQUE, NM 87112-1978
(505) 506-7901
(505) 294-1278
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
FA0080936
NM
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
FA0080936
NM
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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