Organization · NPI-2

A New Awakening - Las Cruces INC.

Community/Behavioral Health · Albuquerque, NM

NPI number1457517807
StatusActive
Last updated in NPPESAug 5, 2008

Details

NPI
1457517807
Entity type
Organization (NPI-2)
Legal business name
A New Awakening - Las Cruces INC.
Organization subpart
No
Enumeration date
Aug 5, 2008
Last updated
Aug 5, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health0078391NMYes

Practice location

600 1st St Nw Ste 200
Albuquerque, NM 87102-2311

Phone 505-224-9124 · Fax 505-247-9503

Mailing address

835 Spruce Ave
Las Cruces, NM 88001-2352

Phone 575-993-5200 · Fax 505-247-9503

Authorized official

Patricia Katherine Mckeen
Chief Operations Officer
5052249124

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