| Attachment Healing Center | |
|
1025 Hermosa Dr Se Albuquerque NM 87108-4312 | |
| (505) 237-0061 | |
| Not Available |
| Full Name | Attachment Healing Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1025 Hermosa Dr Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Michele Coleman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5052370061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Attachment Healing Center 1025 Hermosa Dr Se Albuquerque NM 87108-4312 Ph: (505) 237-0061 | Attachment Healing Center 1025 Hermosa Dr Se Albuquerque NM 87108-4312 Ph: (505) 237-0061 |
| NPI Number | 1134332158 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 02/07/2017 |
| Medicare PECOS PAC ID | 9133440266 |
|---|---|
| Medicare Enrollment ID | O20150602000735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134332158 | NPI | - | NPPES |
| 31072577 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amanda R Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669624425 PECOS PAC ID: 4486975539 Enrollment ID: I20150602001164 |
| Provider Name | Jennifer L Dranberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194058131 PECOS PAC ID: 0648591701 Enrollment ID: I20150602001450 |
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