Organization
JOURNEYS DAY PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD B MAESTAS (CFO)
(505) 292-0306
Entity
Organization
Contact information
Practice address
2509 VERMONT ST NE STE A2, ALBUQUERQUE, NM 87110-4600
(505) 292-0306
(505) 292-0307
Mailing address
2509 VERMONT ST NE STE A2, ALBUQUERQUE, NM 87110-4600
(505) 292-0306
(505) 292-0307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000D0775
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D0775
—
NM
Enumeration date
03/14/2007
Last updated
08/22/2020
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