| Zia Aba Services | |
|
117 Sierra Blanca Ave Tularosa NM 88352-2029 | |
| (575) 415-5220 | |
| Not Available |
| Full Name | Zia Aba Services |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 117 Sierra Blanca Ave, Tularosa, New Mexico |
| Authorized Official Name and Position | Suzanne N Mancil (THERAPY DIRECTOR) |
| Authorized Official Contact | 5754155220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zia Aba Services 117 Sierra Blanca Ave Tularosa NM 88352-2029 Ph: (575) 415-5220 | Zia Aba Services 117 Sierra Blanca Ave Tularosa NM 88352-2029 Ph: (575) 415-5220 |
| NPI Number | 1740729953 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740729953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11622314 (New Mexico) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | 11622314 (New Mexico) | Primary |