| The Community Lighthouse | |
|
3301 Candelaria Rd Ne Ste B Albuquerque NM 87107-1965 | |
| (505) 273-6300 | |
| (505) 265-7860 |
| Full Name | The Community Lighthouse |
|---|---|
| Speciality | Social Worker |
| Location | 3301 Candelaria Rd Ne Ste B, Albuquerque, New Mexico |
| Authorized Official Name and Position | Maria Mendez (OFFICE MANAGER) |
| Authorized Official Contact | 5052736300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Community Lighthouse 3301 Candelaria Rd Ne Ste B Albuquerque NM 87107-1965 Ph: (505) 273-6300 | The Community Lighthouse 3301 Candelaria Rd Ne Ste B Albuquerque NM 87107-1965 Ph: (505) 273-6300 |
| NPI Number | 1427456458 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 10/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427456458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | M08822 (New Mexico) | Primary |
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