Provider Demographics
NPI:1720520323
Name:COMMUNITY AREA RESOURCE ENTERPRISE
Entity Type:Organization
Organization Name:COMMUNITY AREA RESOURCE ENTERPRISE
Other - Org Name:CARE 66
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUDHRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-722-0066
Mailing Address - Street 1:407 W HIGHWAY 66
Mailing Address - Street 2:THE LEXINGTON HOTEL
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-6417
Mailing Address - Country:US
Mailing Address - Phone:505-722-0066
Mailing Address - Fax:505-722-2329
Practice Address - Street 1:407 W HIGHWAY 66
Practice Address - Street 2:THE LEXINGTON HOTEL
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-6417
Practice Address - Country:US
Practice Address - Phone:505-722-0066
Practice Address - Fax:505-722-2329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health