Whalio Doctors

NPI 1295232734

Las Cumbres Community Services

Organisation Early Intervention Provider Agency Espanola, NM

Practice location

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

Authorised official

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

Registered specialties (2)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence E7436 (NM)
Early Intervention Provider Agency
Agencies Taxonomy 252Y00000X

Registry record

NPI
1295232734
Entity type
Organization
NPI issued
11 Apr 2018
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.