| Shared Vision | |
|
54 Cut Tree Ln Belen NM 87002-8224 | |
| (505) 306-9136 | |
| Not Available |
| Full Name | Shared Vision |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 54 Cut Tree Ln, Belen, New Mexico |
| Authorized Official Name and Position | Susan Kary Sanchez (DIRECTOR) |
| Authorized Official Contact | 5053069136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shared Vision 54 Cut Tree Ln Belen NM 87002-8224 Ph: (505) 306-9136 | Shared Vision 54 Cut Tree Ln Belen NM 87002-8224 Ph: (505) 306-9136 |
| NPI Number | 1245777523 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245777523 | NPI | - | NPPES |
| C0938 | Other | NM | NM LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C0938 (New Mexico) | Primary |
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