| Ride To Pride Partnership, Inc. | |
|
1000 Airport Rd Las Vegas NM 87701-9415 | |
| (505) 454-9738 | |
| (505) 425-9285 |
| Full Name | Ride To Pride Partnership, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 Airport Rd, Las Vegas, New Mexico |
| Authorized Official Name and Position | Lorraine Esquibel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5054549738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ride To Pride Partnership, Inc. Po Box 806 Las Vegas NM 87701-0806 Ph: (505) 454-9738 | Ride To Pride Partnership, Inc. 1000 Airport Rd Las Vegas NM 87701-9415 Ph: (505) 454-9738 |
| NPI Number | 1194898700 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194898700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Mexico) | Primary |
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