| A New Awakening - Las Cruces Inc. | |
|
600 1st St Nw Ste 200 Albuquerque NM 87102-2311 | |
| (505) 224-9124 | |
| (505) 247-9503 |
| Full Name | A New Awakening - Las Cruces Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 1st St Nw Ste 200, Albuquerque, New Mexico |
| Authorized Official Name and Position | Patricia Katherine Mckeen (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5052249124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Awakening - Las Cruces Inc. 835 Spruce Ave Las Cruces NM 88001-2352 Ph: (575) 993-5200 | A New Awakening - Las Cruces Inc. 600 1st St Nw Ste 200 Albuquerque NM 87102-2311 Ph: (505) 224-9124 |
| NPI Number | 1457517807 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457517807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0078391 (New Mexico) | Primary |
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