NPI 1417397928

Agave Health, INC.

Organisation Foster Care Agency Albuquerque, NM

Practice location

Address: 2551 Coors Boulevard Northwest, Albuquerque, NM 87120
Phone: (602) 285-4200
Mailing address: 2551 Coors Blvd NW, Albuquerque, NM 87120-1213

Authorised official

Name: Cindy Monzon
Title: Hr
Phone: (602) 285-4239

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 3454 (NM)

Other Foster Care Agency providers in New Mexico →

Recovery Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0800X Licence 3454 (NM)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1417397928
Entity type: Organization
NPI issued: 28 Jun 2013
Record last updated: 22 Jul 2014

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.