| Ride To Pride Partnership, Inc. | |
|
47 Alameda Rd Las Vegas NM 87701-3996 | |
| (505) 454-9738 | |
| (505) 425-9285 |
| Full Name | Ride To Pride Partnership, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 47 Alameda 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. 47 Alameda Rd Las Vegas NM 87701-3996 Ph: (505) 454-9738 |
| NPI Number | 1356756845 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356756845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | X-08729 (New Mexico) | Primary |
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