Organization
THE LIFE LINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN LUNA-ANDERSON PH.D. (EXECUTIVE DIRECTOR)
(505) 438-0010
Entity
Organization
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
Mailing address
PO BOX 6094, SANTA FE, NM 87502-6094
(505) 438-0010
(505) 438-6011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3026
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097780008
—
NM
Enumeration date
02/12/2007
Last updated
08/22/2020
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