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NEW LIFE CENTER FOR FAMILY DEVELOPMENT NPI 1437164811


NPI Information

NPI: 1437164811
Provider Name: NEW LIFE CENTER FOR FAMILY DEVELOPMENT
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8338 COMANCHE RD NE
B
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 323-3665
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NEW LIFE CENTER FOR FAMILY DEVELOPMENT is a mental health (including community mental health center) clinic center in Albuquerque, NM. NEW LIFE CENTER FOR FAMILY DEVELOPMENT NPI is 1437164811. The provider is registered as an organization entity type.

The provider's business location address is:

8338 COMANCHE RD NE
B
ALBUQUERQUE, NM
ZIP 87110-304
Phone: (505) 323-3665
Fax: (505) 323-1038

The provider's authorized official is Joseph Leon Miller .
The authorized official title is President and has the following contact phone number (505) 323-3665.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 5/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110006701OTHERNEW MEXICOLOVELACE HEALTH PLAN
234083260MEDICAIDNEW MEXICO
376804OTHERNEW MEXICOPRESBYTERIAN HEALTH PLAN
4NM00JB93OTHERNEW MEXICOBLUE CROSS BLUE SHIELD NM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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