Organization · Type 2 NPI
Over the Edge Group Home for Disable
Clinic/Center · Albuquerque, NM
NPI number
1598058232
Active
Practice location
7010 Phoenix Ave NE Apt 310
Albuquerque, NM 87110-3505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1598058232
Over the Edge Group Home for Disable's National Provider Identifier is 1598058232, issued on May 26, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Albuquerque, NM. The record was last updated on May 26, 2011.