Healthcare Provider Details

I. General information

NPI: 1316422256
Provider Name (Legal Business Name): SUPPORTING PEOPLE IN NEED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 N SWAN ST
SILVER CITY NM
88061-6529
US

IV. Provider business mailing address

PO BOX 325
SILVER CITY NM
88062-0325
US

V. Phone/Fax

Practice location:
  • Phone: 575-569-6131
  • Fax: 575-956-6947
Mailing address:
  • Phone: 575-494-1128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA ANN WOLFORD
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 575-494-1129