| Mission Health Alliance Llc | |
|
2407 W Picacho Ave A109 Las Cruces NM 88007-4124 | |
| (575) 649-5898 | |
| (575) 652-4555 |
| Full Name | Mission Health Alliance Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2407 W Picacho Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Logan Foster (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5756495898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Health Alliance Llc 2407 W Picacho Ave A109 Las Cruces NM 88007-4124 Ph: (575) 649-5898 | Mission Health Alliance Llc 2407 W Picacho Ave A109 Las Cruces NM 88007-4124 Ph: (575) 649-5898 |
| NPI Number | 1790196665 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 05/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790196665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New Mexico) | Primary |
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