Healthcare Provider Details

I. General information

NPI: 1689583361
Provider Name (Legal Business Name): CASA Q INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7509 EUCLID AVE NE
ALBUQUERQUE NM
87110-4520
US

IV. Provider business mailing address

PO BOX 36168
ALBUQUERQUE NM
87176-6168
US

V. Phone/Fax

Practice location:
  • Phone: 505-872-2099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNON DARRELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 505-872-2099