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COMMUNITY SOURCE

Case Management Agency

NPI: 1629876297Organization

Specialties, Licenses & Credentials

Public Health or Welfare Agency

Public Health or Welfare

Code: 251K00000X

Early Intervention Provider Agency

Early Intervention Provider Agency

Code: 252Y00000X

Private Vehicle

Private Vehicle

Code: 347C00000X

Case Management AgencyPrimary

Case Management

Code: 251B00000X

Contact & Hours

Address
12021 SKYLINE RD NE APT 2723
ALBUQUERQUE, NM 87123

Quick Facts

NPI
1629876297
Entity Type
Organization
Medicare
Not confirmed
Specialties
4
Locations
1

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