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Dlw Forensic Community Navigation Specialist, LLC

Community Health Worker in Albuquerque, NM. Organization (NPI-2).

NPI number1609796408
StatusActive
Last updated in NPPESJul 20, 2026

Details

NPI
1609796408
Entity type
Organization (NPI-2)
Legal business name
Dlw Forensic Community Navigation Specialist, LLC
Organization subpart
No
Enumeration date
Jul 20, 2026
Certification date
Jul 20, 2026
Last updated
Jul 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
101YM0800X Counselor, Mental Health––
251S00000X Community/Behavioral Health––

Practice location

3803 Aspen Ave Ne Apt 25
Albuquerque, NM 87110-5651

Phone 505-238-4257 · Fax 505-238-4257

Mailing address

3803 Aspen Ave Ne Apt 25
Albuquerque, NM 87110-5651

Phone 505-238-4257 · Fax 505-238-4257

Authorized official

Demetre Wallace
Owner
5052384257

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