Adolescent & Family Services

Key facts

NPI

1487845962

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

ADOLESCENT & FAMILY SERVICES

Practice address

1630 7TH St
Las Vegas, NM 87701-4920

Phone

(505) 454-8151

Fax

(505) 454-1397

NPI assigned

Aug 8, 2007

Organization subpart

No

Authorized official

Name

Ms. Wilma Jean Brown, BA, MA, JD

Title

Acting Executive Director

Phone

(505) 454-8151

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 8, 2007.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1487845962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1058",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877011058",
            "telephone_number": "505-454-8151",
            "fax_number": "505-454-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 7TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014920",
            "telephone_number": "505-454-8151",
            "fax_number": "505-454-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ACTING EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-454-8151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, MA, JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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