Organization
MISSION HEALTH ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN FOSTER PA (AUTHORIZED OFFICIAL)
(575) 649-5898
Entity
Organization
Contact information
Practice address
2407 W PICACHO AVE, A109, LAS CRUCES, NM 88007-4124
(575) 649-5898
(575) 652-4555
Mailing address
2407 W PICACHO AVE, A109, LAS CRUCES, NM 88007-4124
(575) 649-5898
(575) 652-4555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NM
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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