Organization
RESILIENCE INTEGRATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FRANCES BACA LPCC (PROGRAM DIRECTOR)
(505) 315-7397
Entity
Organization
Contact information
Practice address
909 VIRGINIA ST NE, STE. 201, ALBUQUERQUE, NM 87108-1093
(505) 977-3112
Mailing address
5212 PARK HEIGHTS RD NW, ALBUQUERQUE, NM 87120-4726
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0983
NM
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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