| Kids In Need Of Supportive Services | |
|
610 N Silver St Silver City NM 88061-6779 | |
| (575) 388-2414 | |
| (575) 388-2457 |
| Full Name | Kids In Need Of Supportive Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 610 N Silver St, Silver City, New Mexico |
| Authorized Official Name and Position | Susanne Kee (DIRECTOR) |
| Authorized Official Contact | 5759567209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids In Need Of Supportive Services 2311 Ranch Club Rd. Pmb 408 Silver City NM 88061-4627 Ph: (575) 388-2414 | Kids In Need Of Supportive Services 610 N Silver St Silver City NM 88061-6779 Ph: (575) 388-2414 |
| NPI Number | 1164749164 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 08/08/2013 |
| Medicare PECOS PAC ID | 0042451155 |
|---|---|
| Medicare Enrollment ID | O20130731000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164749164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Susanne Kee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578759007 PECOS PAC ID: 3678644127 Enrollment ID: I20080611000472 |
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