NPI 1003582461
Perfectly Imperfect
Practice location
- Address
- 146 Quincy St NE, Albuquerque, NM 87108-1257
- Phone
- (505) 550-1306
- Fax
- (844) 434-8055
Authorised official
- Name
- Dominic John Cagliostro
- Title
- Ceo
- Phone
- (505) 465-9117
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1003582461
- Entity type
- Organization
- NPI issued
- 17 Aug 2021
- Record last updated
- 26 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.