Whalio Doctors

NPI 1174071534

Laguna Early Childhood Program

Organisation Early Intervention Provider Agency Laguna, NM

Practice location

Address
I40 W 114 Bldg 1125, Laguna, NM 87026
Phone
(505) 552-1013
Fax
(505) 552-9569
Mailing address
P.O. Box 207 1-40 W Exit 114 Bldg 1125, Laguna, NM 87026

Authorised official

Name
June E Boles
Title
Director Division of Early Childhoo
Phone
(505) 552-1013

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X

Registry record

NPI
1174071534
Entity type
Organization
NPI issued
14 Sep 2016
Record last updated
14 Sep 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.