Organization
FIRESPIRIT INC
Active
Other names
FireSpirit
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE GARCIA PHD (PRESIDENT)
(505) 898-9942
Entity
Organization
Contact information
Practice address
6612 TERRA DOLCE AVE NW, ALBUQUERQUE, NM 87114-1365
(505) 898-9942
(505) 898-7176
Mailing address
6612 TERRA DOLCE AVE NW, ALBUQUERQUE, NM 87114-1365
(505) 898-9942
(505) 898-7176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06250
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34070575
—
NM
Enumeration date
07/30/2006
Last updated
09/30/2008
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