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Organization

AW HOLDINGS OF NEW MEXICO LLC

Active
Other names
AWS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM J. SWISS PHD (CEO)
(260) 744-6145
Entity
Organization

Contact information

Practice address
8515 BLUFFTON RD, FORT WAYNE, IN 46809-3022
(260) 744-6145
(260) 444-0006
Mailing address
2008 SAINT MICHAELS DR, BLDG C-21, SANTA FE, NM 87505-7682
(260) 744-6145
(260) 444-0006

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/11/2008
Last updated
10/15/2012
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