| Carino Family Services Inc | |
|
2528 Ridge Runner Rd Las Vegas NM 87701-4971 | |
| (575) 520-9899 | |
| (505) 425-9223 |
| Full Name | Carino Family Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2528 Ridge Runner Rd, Las Vegas, New Mexico |
| Authorized Official Name and Position | Breena Tafoya (PRESIDENT & CEO) |
| Authorized Official Contact | 5755209899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carino Family Services Inc Po Box 84 Mora NM 87732-0084 Ph: (575) 520-9899 | Carino Family Services Inc 2528 Ridge Runner Rd Las Vegas NM 87701-4971 Ph: (575) 520-9899 |
| NPI Number | 1093149056 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 04/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093149056 | NPI | - | NPPES |
| 51203782 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4780310 (New Mexico) | Primary |
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