Provider Demographics
NPI:1467703777
Name:DECADES, LLC
Entity Type:Organization
Organization Name:DECADES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:505-345-5529
Mailing Address - Street 1:6121 INDIAN SCHOOL RD NE STE 103
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4165
Mailing Address - Country:US
Mailing Address - Phone:505-345-5529
Mailing Address - Fax:
Practice Address - Street 1:6121 INDIAN SCHOOL RD NE STE 103
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4165
Practice Address - Country:US
Practice Address - Phone:505-345-5529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health