| Nmdoh Family Infant Toddler Program | |
|
1190 Saint Francis Drive Santa Fe NM 87502-6110 | |
| (505) 827-1711 | |
| (505) 827-2455 |
| Full Name | Nmdoh Family Infant Toddler Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1190 Saint Francis Drive, Santa Fe, New Mexico |
| Authorized Official Name and Position | Andrew Gomm (EARLY CHILDHOOD COORDINATOR) |
| Authorized Official Contact | 5058272578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nmdoh Family Infant Toddler Program 1190 Saint Francis Drive Po Box 26110 Santa Fe NM 87502-6110 Ph: (505) 827-1711 | Nmdoh Family Infant Toddler Program 1190 Saint Francis Drive Santa Fe NM 87502-6110 Ph: (505) 827-1711 |
| NPI Number | 1639382542 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639382542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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