| A New Awakening Rio Rancho | |
|
1603 Golf Course Rd Se # A Rio Rancho NM 87124-1762 | |
| (505) 994-4100 | |
| (505) 994-1229 |
| Full Name | A New Awakening Rio Rancho |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1603 Golf Course Rd Se # A, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Jeanne M Romero (SOLE MEMBER) |
| Authorized Official Contact | 5059944100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Awakening Rio Rancho 1603 Golf Course Rd Se # A Rio Rancho NM 87124-1762 Ph: (505) 994-4100 | A New Awakening Rio Rancho 1603 Golf Course Rd Se # A Rio Rancho NM 87124-1762 Ph: (505) 994-4100 |
| NPI Number | 1265765135 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265765135 | NPI | - | NPPES |
| 3468 | Other | NM | NM LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3468 (New Mexico) | Primary |
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