| 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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