Organization
KIDS IN NEED OF SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE KEE LISW (DIRECTOR)
(575) 956-7209
Entity
Organization
Contact information
Practice address
610 N SILVER ST, SILVER CITY, NM 88061-6779
(575) 388-2414
(575) 388-2457
Mailing address
2311 RANCH CLUB RD, SILVER CITY, NM 88061-7807
(575) 388-2414
(575) 388-2457
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-08245
NM
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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