Provider Demographics
NPI:1093029274
Name:VISTAS SIN LIMITES @ NMHU
Entity Type:Organization
Organization Name:VISTAS SIN LIMITES @ NMHU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALARID
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:505-454-3509
Mailing Address - Street 1:1031 ELEVENTH ST
Mailing Address - Street 2:SUITE 123 &133
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701
Mailing Address - Country:US
Mailing Address - Phone:505-454-3509
Mailing Address - Fax:505-454-3524
Practice Address - Street 1:1031 11TH ST
Practice Address - Street 2:SUITE 133 AND ROOM 123
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701
Practice Address - Country:US
Practice Address - Phone:505-454-3509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW MEXIO HIGHLANDS UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251300000X, 251S00000X
NM251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251300000XAgenciesLocal Education Agency (LEA)
No251C00000XAgenciesDay Training, Developmentally Disabled Services