Perfectly Imperfect

LBN: Perfectly Imperfect
Perfectly Imperfect is an health care organization with primary practice located at 146 Quincy St Ne , Albuquerque NM 87108. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Perfectly Imperfect can be contacted via phone (505) 550-1306, or through Cagliostro, Dominic via phone (505) 550-1306.

Contact Information

Primary practice address
146 Quincy St Ne Albuquerque NM 87108
Phone: (505) 550-1306
Fax: (844) 434-8055
Website:
Map and Directions
Authorized official contact:
Name: Cagliostro, Dominic LCSW, LADAC
Phone: (505) 550-1306

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1720486772
LBN Legal business name Perfectly Imperfect
DBA Doing business as
Authorized official Cagliostro, Dominic LCSW, LADAC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2014
Last updated Sep 5th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720486772 NPPES
New Mexico MEDICAID 34155384

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