Provider Demographics
NPI:1346471638
Name:HIDALGO COUNTY
Entity Type:Organization
Organization Name:HIDALGO COUNTY
Other - Org Name:HIDALGO COUNTY DWI PREVENTION PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED PREVENTION SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:CPS
Authorized Official - Phone:575-542-3949
Mailing Address - Street 1:524 DEMOSS ST.
Mailing Address - Street 2:SUITE 12
Mailing Address - City:LORDSBURG
Mailing Address - State:NM
Mailing Address - Zip Code:88045-2626
Mailing Address - Country:US
Mailing Address - Phone:575-542-3949
Mailing Address - Fax:575-542-3949
Practice Address - Street 1:524 DEMOSS ST.
Practice Address - Street 2:SUITE 12
Practice Address - City:LORDSBURG
Practice Address - State:NM
Practice Address - Zip Code:88045-2626
Practice Address - Country:US
Practice Address - Phone:575-542-3949
Practice Address - Fax:575-542-3949
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIDALGO COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health