Organization
A CHILDS VOICE
Active
Other names
A Child's Voice INC
Organization subpart
No
Provider details
NPI number
Authorized official
TINA BOND LISW (CEO)
(505) 916-2007
Entity
Organization
Contact information
Practice address
5201 VENICE AVE NE, SUITE A, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
Mailing address
2228 LAS BRISAS CIR SE, RIO RANCHO, NM 87124-8953
(505) 916-2007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-08575
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684-077-26
—
NM
Enumeration date
07/11/2014
Last updated
04/21/2015
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