NPI 1073853271 · live from the CMS NPI Registry
Amistad Milestones, LLC
Early Intervention Provider Agency in Las Cruces, NM. National Provider Identifier 1073853271, active.
NPI record
| NPI | 1073853271 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Early Intervention Provider Agency 252Y00000X |
| Practice location | 3050 N Roadrunner Pkwy, Suite A, Las Cruces, NM 88011 |
| Practice phone | 575-523-2288 |
| Mailing address | Po Box 1090, Las Cruces, NM 88004 |
| Enumerated | February 25, 2013 |
| Last updated | February 25, 2013 |
| Authorized official | Rick Morales, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | i-06859 (NM) |
| Early Intervention Provider Agency primary | 252Y00000X | I-06859 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.