Organization · NPI-2

Las Cumbres Community Services

Community/Behavioral Health · Espanola, NM

NPI number1053460287
StatusActive
Last updated in NPPESJul 20, 2022

Details

NPI
1053460287
Entity type
Organization (NPI-2)
Legal business name
Las Cumbres Community Services
Organization subpart
No
Enumeration date
Jan 9, 2007
Certification date
Jul 20, 2022
Last updated
Jul 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health6652NMYes
251C00000X Day Training, Developmentally Disabled Services6652NM
385HR2055X Respite Care, Respite Care, Mental Illness, Child6653NM

Other names

  • Las Cumbres Learning Services (Former Legal Business Name)

Practice location

404 Hunter St
Espanola, NM 87532-2655

Phone 505-753-4123 · Fax 505-753-6947

Mailing address

102 N Coronado Ave
Espanola, NM 87532-2700

Phone 857-523-0654 · Fax 505-753-6947

Authorized official

Amanda J Bissell
Coo
8575230654

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