NPI 1033569074
Sorinity Support Services, LLC
Practice location
- Address
- 818 W Granada St, Espanola, NM 87532-2409
- Phone
- (505) 629-1712
- Fax
- (877) 712-4623
- Mailing address
- 4801 Lang Ave NE Suite 110, Albuquerque, NM 87109-4474
Authorised official
- Name
- Alvina Roberts
- Title
- Executive Director
- Phone
- (505) 629-1712
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1033569074
- Entity type
- Organization
- NPI issued
- 21 Jun 2016
- Record last updated
- 21 Jun 2016
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.