| Amistad Milestones, Llc | |
|
3050 N Roadrunner Pkwy Suite A Las Cruces NM 88011-0833 | |
| (575) 523-2288 | |
| (575) 523-2299 |
| Full Name | Amistad Milestones, Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 3050 N Roadrunner Pkwy, Las Cruces, New Mexico |
| Authorized Official Name and Position | Rick Morales (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7039061613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amistad Milestones, Llc Po Box 1090 Las Cruces NM 88004-1090 Ph: (575) 523-2288 | Amistad Milestones, Llc 3050 N Roadrunner Pkwy Suite A Las Cruces NM 88011-0833 Ph: (575) 523-2288 |
| NPI Number | 1073853271 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073853271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-06859 (New Mexico) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | I-06859 (New Mexico) | Primary |
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