Organization
CARSAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY CARLON (OWNER)
(505) 681-3819
Entity
Organization
Contact information
Practice address
6501 4TH ST NW STE E2, LOS RANCHOS, NM 87107-5800
(505) 681-3819
Mailing address
9217 GALAXIA WAY NE, ALBUQUERQUE, NM 87111-1436
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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