Organization
21ST CENTURY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MORALEZ (EXECUTIVE DIRECTOR)
(415) 535-3885
Entity
Organization
Contact information
Practice address
3720 THREE SAINTS RD, ANTHONY, NM 88021-8928
(415) 535-3885
Mailing address
3720 THREE SAINTS RD, ANTHONY, NM 88021-8928
(415) 535-3885
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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