NPI 1073835963

On Wings Like Eagles, LLC

Organisation Community/Behavioral Health Agency Las Cruces, NM

Practice location

Address: 1435 Pecos St, Las Cruces, NM 88001-4335
Phone: (575) 522-1422
Fax: (575) 532-5175
Mailing address: 1801 Las Tunas Dr, Las Cruces, NM 88011-4956

Authorised official

Name: Edward Gene Kruis
Title: Owner/Provider
Phone: (575) 650-0071

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 03-130243-00-2 (NM)

Other Community/Behavioral Health providers in New Mexico →

Registry record

NPI: 1073835963
Entity type: Organization
NPI issued: 19 Feb 2010
Record last updated: 19 Feb 2010

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.