Organization
GOODWILL INDUSTRIES OF N.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS M. MAREK (ADMINISTRATIVE COORDINATOR)
(505) 881-6401
Entity
Organization
Contact information
Practice address
5000 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87109-2426
(505) 881-6401
(505) 884-3157
Mailing address
5000 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87109-2426
(505) 881-6401
(505) 884-3157
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0471
—
NM
Enumeration date
01/16/2007
Last updated
08/22/2020
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