Organization · NPI-2

Academy Of Trades And Technology Sbhc

Clinic/Center · Albuquerque, NM

NPI number1114187838
StatusActive
Last updated in NPPESJun 16, 2008

Details

NPI
1114187838
Entity type
Organization (NPI-2)
Legal business name
Academy Of Trades And Technology Sbhc
Organization subpart
No
Enumeration date
Jun 16, 2008
Last updated
Jun 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center–NMYes
291U00000X Clinical Medical Laboratory–NM
3336C0002X Pharmacy, Clinic Pharmacy–NM

Practice location

1718 Yale Blvd Se
Albuquerque, NM 87106-4136

Phone 505-765-5517

Mailing address

1718 Yale Blvd Se
Albuquerque, NM 87106-4136

Phone 505-765-5517

Authorized official

Bonnie Kaufman
Nurse
5057655517

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