Healthcare Provider Details

I. General information

NPI: 1841164969
Provider Name (Legal Business Name): HIGH DESERT FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 RESEARCH RD SE
ALBUQUERQUE NM
87123
US

IV. Provider business mailing address

10401 RESEARCH RD SE
ALBUQUERQUE NM
87123
US

V. Phone/Fax

Practice location:
  • Phone: 505-823-4530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: GABRIELLA SANCHEZ
Title or Position: OTA
Credential: OTA
Phone: 505-488-1065