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Community/Behavioral Health in Las Cruces, NM. Organization (NPI-2).

NPI number1164090080
StatusActive
Last updated in NPPESJun 16, 2021

Details

NPI
1164090080
Entity type
Organization (NPI-2)
Legal business name
Startlines
Organization subpart
No
Enumeration date
Jun 16, 2021
Certification date
Jun 16, 2021
Last updated
Jun 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
101YM0800X Counselor, Mental Health––
1041C0700X Social Worker, Clinical––

Practice location

644 E Papen Memorial Plz
Las Cruces, NM 88001-3477

Phone 575-202-1785 · Fax 575-644-8012

Mailing address

644 E Papen Memorial Plz
Las Cruces, NM 88001-3477

Phone 575-202-1785 · Fax 575-644-8012

Authorized official

Steve Munoz
Owner
5752021785

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