Human Resource Development Associates, Inc. | |
1335 Gusdorf Rd Building E Taos NM 87571-5204 | |
(575) 758-0670 | |
(575) 751-3557 |
Full Name | Human Resource Development Associates, Inc. |
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Speciality | Counselor |
Location | 1335 Gusdorf Rd, Taos, New Mexico |
Authorized Official Name and Position | Walter Manuel Vigil (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5757580670 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Human Resource Development Associates, Inc. 1335 Gusdorf Road Building E Taos NM 87571-5204 Ph: (575) 758-0670 | Human Resource Development Associates, Inc. 1335 Gusdorf Rd Building E Taos NM 87571-5204 Ph: (575) 758-0670 |
NPI Number | 1720206113 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 06/11/2019 |
Medicare PECOS PAC ID | 6204169972 |
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Medicare Enrollment ID | O20190612000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720206113 | NPI | - | NPPES |
Provider Name | Christopher H Weathers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295281566 PECOS PAC ID: 8022440809 Enrollment ID: I20191115002150 |
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