Healthcare Provider Details

I. General information

NPI: 1982551420
Provider Name (Legal Business Name): COMPREHENSIVE AUTISM CARE NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2632 MESILLA ST NE STE 1
ALBUQUERQUE NM
87110-3614
US

IV. Provider business mailing address

2632 MESILLA ST NE STE 1
ALBUQUERQUE NM
87110-3614
US

V. Phone/Fax

Practice location:
  • Phone: 719-540-2152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERIE TERRANOVA
Title or Position: OPERATIONS DIRECTOR
Credential:
Phone: 719-540-2152