| 7 Circles Justice Center | |
|
127 Bridge St Las Vegas NM 87701-3426 | |
| (505) 425-9477 | |
| Not Available |
| Full Name | 7 Circles Justice Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 127 Bridge St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Chelsea Gutierrez (SOCIAL WORKER) |
| Authorized Official Contact | 5054259477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 7 Circles Justice Center 127 Bridge St Las Vegas NM 87701-3426 Ph: (505) 425-9477 | 7 Circles Justice Center 127 Bridge St Las Vegas NM 87701-3426 Ph: (505) 425-9477 |
| NPI Number | 1326574021 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326574021 | NPI | - | NPPES |
| 60428066 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C09343 (New Mexico) | Primary |
| 251S00000X | Community/behavioral Health | C09343 (New Mexico) | Secondary |
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