Provider Demographics
NPI:1407277932
Name:ALL INDIVIDUALS FIRST
Entity Type:Organization
Organization Name:ALL INDIVIDUALS FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MA EDS
Authorized Official - Phone:505-501-3647
Mailing Address - Street 1:1332 LA MIRADA CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-2767
Mailing Address - Country:US
Mailing Address - Phone:505-501-3647
Mailing Address - Fax:505-662-7404
Practice Address - Street 1:2101 TRINITY DR
Practice Address - Street 2:SUITE T
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-4102
Practice Address - Country:US
Practice Address - Phone:505-501-3647
Practice Address - Fax:505-662-7404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4732111251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services