NPI 1508914896
State of New Mexico
Practice location
- Address
- 2040 S Pacheco St, Santa Fe, NM 87505-5472
- Phone
- (505) 476-8868
- Fax
- (505) 476-8896
Authorised official
- Name
- Lynn Christiansen
- Title
- Program Director
- Phone
- (505) 476-8851
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1508914896
- Entity type
- Organization
- NPI issued
- 5 Jan 2007
- Record last updated
- 26 Jun 2008
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.