Provider Demographics
NPI:1407539794
Name:SYNERGETIC BUSINESS SOLUTIONS
Entity Type:Organization
Organization Name:SYNERGETIC BUSINESS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-331-1571
Mailing Address - Street 1:524 CENTRAL AVE SW UNIT 505
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-3159
Mailing Address - Country:US
Mailing Address - Phone:505-331-1571
Mailing Address - Fax:
Practice Address - Street 1:524 CENTRAL AVE SW UNIT 505
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3159
Practice Address - Country:US
Practice Address - Phone:505-331-1571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty