Whiteowl Services, Inc. | |
3300 Vista Del Sur St Nw Albuquerque NM 87120-1546 | |
(505) 450-9271 | |
(505) 873-8489 |
Full Name | Whiteowl Services, Inc. |
---|---|
Speciality | Counselor - Professional |
Location | 3300 Vista Del Sur St Nw, Albuquerque, New Mexico |
Authorized Official Name and Position | Ina Krieble (PRESIDENT) |
Authorized Official Contact | 5054509271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Whiteowl Services, Inc. 3300 Vista Del Sur St Nw Albuquerque NM 87120-1546 Ph: (505) 450-9271 | Whiteowl Services, Inc. 3300 Vista Del Sur St Nw Albuquerque NM 87120-1546 Ph: (505) 450-9271 |
NPI Number | 1063429157 |
---|---|
Provider Enumeration Date | 08/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063429157 | NPI | - | NPPES |
89709004 | Medicaid | NM | |
37481541 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 006002 (New Mexico) | Primary |
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