Organization
JUSTICE ACCESS SUPPORT AND SOLUTIONS FOR HEALTH
Active
Other names
Casa de Salud
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BOYCE (DIRECTOR OF OPERATIONS)
(505) 417-2362
Entity
Organization
Contact information
Practice address
1608 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4634
(505) 907-8311
(505) 288-3561
Mailing address
1608 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4634
(505) 907-8311
(505) 907-8311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83306528
—
NM
05
—
96001224
—
NM
Enumeration date
01/10/2018
Last updated
04/23/2020
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