| Adolescent & Family Services | |
|
1630 7th St Las Vegas NM 87701-4920 | |
| (505) 454-8151 | |
| (505) 454-1397 |
| Full Name | Adolescent & Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1630 7th St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Wilma Jean Brown (ACTING EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5054548151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent & Family Services Po Box 1058 Las Vegas NM 87701-1058 Ph: (505) 454-8151 | Adolescent & Family Services 1630 7th St Las Vegas NM 87701-4920 Ph: (505) 454-8151 |
| NPI Number | 1487845962 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487845962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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