Organization
INSIGHT EDUCATIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA KAY BAKOS ED.D./PH.D (DIRECTOR)
(505) 577-7511
Entity
Organization
Contact information
Practice address
2155 CANDELERO ST, SANTA FE, NM 87505-5649
(505) 577-7511
(505) 473-2812
Mailing address
1000 CORDOVA PL, #402, SANTA FE, NM 87505-1725
(505) 471-7511
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
206191
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206191
NMPED
NM
Enumeration date
09/07/2015
Last updated
09/07/2015
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