Organization
HOGARES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN GOMEZ LISW (THERAPIST)
(505) 321-5249
Entity
Organization
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
Mailing address
PO BOX 80265, ALBUQUERQUE, NM 87198-0265
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
I1035
NM
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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