Organization
CENTRO SAVILA LLC
Active
Other names
Centro Savila
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G WAGNER PHD, LISW (EXECUTIVE DIRECTOR)
(505) 604-1640
Entity
Organization
Contact information
Practice address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 312-7296
Mailing address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 312-7296
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/24/2012
Last updated
06/24/2012
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