Healty Start Program | |
570 W Griggs Ave Las Cruces NM 88005-2604 | |
(575) 524-0767 | |
(575) 528-5539 |
Full Name | Healty Start Program |
---|---|
Speciality | Social Worker |
Location | 570 W Griggs Ave, Las Cruces, New Mexico |
Authorized Official Name and Position | Suzan Martinez De Gonzales (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5755261105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healty Start Program 570 W Griggs Healthy Start Program Las Cruces NM 88005 Ph: (575) 524-0767 | Healty Start Program 570 W Griggs Ave Las Cruces NM 88005-2604 Ph: (575) 524-0767 |
NPI Number | 1003087867 |
---|---|
Provider Enumeration Date | 03/19/2008 |
Last Update Date | 05/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003087867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (New Mexico) | Primary |
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