Healthcare Provider Details

I. General information

NPI: 1497886881
Provider Name (Legal Business Name): ECECD-FAMILIES FIRST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/24/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 PASEO DE PERALTA
SANTA FE NM
87501
US

IV. Provider business mailing address

PO DRAWER 5619
SANTA FE NM
87502-5619
US

V. Phone/Fax

Practice location:
  • Phone: 877-842-4251
  • Fax:
Mailing address:
  • Phone: 877-842-4251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: KRISTI ROMERO
Title or Position: BUREAU CHIEF
Credential: RN
Phone: 505-660-9079