Whalio Doctors

NPI 1053460287

Las Cumbres Community Services

Organisation Community/Behavioral Health Agency Espanola, NM

Practice location

Address
404 Hunter St, Espanola, NM 87532-2655
Phone
(505) 753-4123
Fax
(505) 753-6947
Mailing address
102 N Coronado Ave, Espanola, NM 87532-2700

Authorised official

Name
Amanda J Bissell
Title
Coo
Phone
(857) 523-0654

Registered specialties (3)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 6652 (NM)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence 6652 (NM)
Child Mental Illness Respite Care
Respite Care Facility Taxonomy 385HR2055X Licence 6653 (NM)

Registry record

NPI
1053460287
Entity type
Organization
NPI issued
9 Jan 2007
Record last updated
20 Jul 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.