Provider Demographics
NPI:1609422930
Name:WINDMILL FIGHTERS INC.
Entity Type:Organization
Organization Name:WINDMILL FIGHTERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:INSTITUTE
Authorized Official - Last Name:HALLFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:505-243-2223
Mailing Address - Street 1:803 TIJERAS AVE NW STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-3098
Mailing Address - Country:US
Mailing Address - Phone:505-243-2223
Mailing Address - Fax:505-243-3576
Practice Address - Street 1:803 TIJERAS AVE NW STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3098
Practice Address - Country:US
Practice Address - Phone:505-243-2223
Practice Address - Fax:505-243-3576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health