| The Water Collection Llc | |
|
524 Central Ave Sw Unit 505 Albuquerque NM 87102-3159 | |
| (505) 331-1571 | |
| Not Available |
| Full Name | The Water Collection Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 524 Central Ave Sw Unit 505, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jennifer Padilla (OWNER) |
| Authorized Official Contact | 5053311571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Water Collection Llc 524 Central Ave Sw Unit 505 Albuquerque NM 87102-3159 Ph: (505) 331-1571 | The Water Collection Llc 524 Central Ave Sw Unit 505 Albuquerque NM 87102-3159 Ph: (505) 331-1571 |
| NPI Number | 1144004649 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Medicare PECOS PAC ID | 6103260450 |
|---|---|
| Medicare Enrollment ID | O20240215000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144004649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285924373 PECOS PAC ID: 1355785601 Enrollment ID: I20240216000563 |
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