| Brain Injury Services Of New Mexico, Llc | |
|
1115 N Luna Cir Santa Fe NM 87501-1656 | |
| (505) 989-1640 | |
| (505) 989-1640 |
| Full Name | Brain Injury Services Of New Mexico, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1115 N Luna Cir, Santa Fe, New Mexico |
| Authorized Official Name and Position | Melissa Ann Wolf (DIRECTOR) |
| Authorized Official Contact | 5059891640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Injury Services Of New Mexico, Llc 1115 N Luna Cir Santa Fe NM 87501-1656 Ph: (505) 989-1640 | Brain Injury Services Of New Mexico, Llc 1115 N Luna Cir Santa Fe NM 87501-1656 Ph: (505) 989-1640 |
| NPI Number | 1891089280 |
|---|---|
| Provider Enumeration Date | 06/03/2011 |
| Last Update Date | 06/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891089280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
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