Organization
VALENCIA COMMUNITY FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARES (DIRECTOR)
(505) 452-7317
Entity
Organization
Contact information
Practice address
431 LUNA AVE, LOS LUNAS, NM 87031
(505) 359-4700
(186) 645-9822
Mailing address
431 LUNA AVE, LOS LUNAS, NM 87031
(505) 359-4700
(866) 459-8227
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73576336
—
NM
Enumeration date
11/28/2012
Last updated
11/28/2012
Update your record
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