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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIJAH KENNETH PRINCE

Active Sole Proprietor

ELIJAH KENNETH PRINCE is a Behavioral Health, Residential healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1972390698 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · ALBUQUERQUE, NM

Registration Details

NPI Number
1972390698
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2025 (1.3417182075991 yrs)
Last Updated
Apr 24, 2025
Sole Proprietor
Yes

Practice Information

Address
6800 VISTA DEL SOL DR NW
ALBUQUERQUE, NM, 871203299
Browse NM providers · Browse ZIP 87120
Phone
7608150568
Primary Specialty
Behavioral Health, Residential
251C00000X

Other Behavioral Health, Residential Providers in ALBUQUERQUE, NM

Name Credential NPI
MRS. KAREN LYN BROWN 1427363126
EVANNA ROSE ROMERO 1255602090
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.