| Southern New Mexico Human Development, Inc. | |
|
820 Hwy 478 Anthony NM 88021 | |
| (505) 882-5101 | |
| (505) 882-6127 |
| Full Name | Southern New Mexico Human Development, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 820 Hwy 478, Anthony, New Mexico |
| Authorized Official Name and Position | Vincent Ortega (CEO) |
| Authorized Official Contact | 5058825101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern New Mexico Human Development, Inc. Po Box 2285 Las Cruces NM 88004-2285 Ph: (505) 882-5101 | Southern New Mexico Human Development, Inc. 820 Hwy 478 Anthony NM 88021 Ph: (505) 882-5101 |
| NPI Number | 1376662874 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376662874 | NPI | - | NPPES |
| 47639 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3037 (New Mexico) | Primary |
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