Organization
ZIA COMMUNITY CARES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA R JARAMILLO MSW, MBA (COO)
(505) 982-3113
Entity
Organization
Contact information
Practice address
5400 GIBSON BLVD, BUILDING 11, ALBUQUERQUE, NM 87108-8710
(505) 982-3113
(505) 982-2462
Mailing address
5400 GIBSON BLVD, BOX 18, ALBUQUERQUE, NM 87108
(505) 982-3113
(505) 982-2462
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/05/2020
Last updated
06/24/2020
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