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Casa Milagro

Case Management in Santa Fe, NM. Organization (NPI-2).

NPI number1528458114
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1528458114
Entity type
Organization (NPI-2)
Legal business name
Casa Milagro
Organization subpart
No
Enumeration date
Feb 3, 2015
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management5817NMYes
251S00000X Community/Behavioral Health––
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness5817NM

Practice location

49 Camino Bajo
Santa Fe, NM 87508-8614

Phone 505-474-7684 · Fax 505-438-4877

Mailing address

49 Camino Bajo
Santa Fe, NM 87508-8614

Phone 505-474-7684 · Fax 505-438-4877

Authorized official

Desiree Bernard
Executive Director
5054747684

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