Over the Edge Group Home for Disable
Over the Edge Group Home for Disable provides Clinic/Center services in Albuquerque, New Mexico. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
7010 Phoenix Ave NE Apt 310Albuquerque, NM 87110-3505 Not confirmed with CMS for 15 years — call before visiting
Phone: (505) 508-5708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1598058232 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Autrell Brown — Owner/Ceo · (505) 463-6328 |
| Other names | Over The Edge |
| NPI enumerated | May 26, 2011 |
| Last updated in NPPES | May 26, 2011 |
| Mailing address | 7010 Phoenix Ave Ne Apt 310, Albuquerque, NM 87110-3505 |
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