| Sunstar Creative And Healing Arts | |
|
4312 Carlisle Blvd Ne Albuquerque NM 87107-4811 | |
| (505) 977-7336 | |
| Not Available |
| Full Name | Sunstar Creative And Healing Arts |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4312 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Sunny A Laurenne (OWNER) |
| Authorized Official Contact | 5059777336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunstar Creative And Healing Arts Po Box 14866 Albuquerque NM 87191-4866 Ph: (505) 977-7336 | Sunstar Creative And Healing Arts 4312 Carlisle Blvd Ne Albuquerque NM 87107-4811 Ph: (505) 977-7336 |
| NPI Number | 1780129866 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780129866 | NPI | - | NPPES |
| 87670704 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0159491 (New Mexico) | Primary |
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