| Buckeye Therapeutics And Mediation, Llc | |
|
3916 Juan Tabo Blvd Ne Ste 23 Albuquerque NM 87111-3981 | |
| (505) 821-9973 | |
| Not Available |
| Full Name | Buckeye Therapeutics And Mediation, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3916 Juan Tabo Blvd Ne Ste 23, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jonathan J Einhorn (SOLE MEMBER) |
| Authorized Official Contact | 5058219973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Therapeutics And Mediation, Llc Po Box 26813 Albuquerque NM 87125-6813 Ph: (505) 821-9973 | Buckeye Therapeutics And Mediation, Llc 3916 Juan Tabo Blvd Ne Ste 23 Albuquerque NM 87111-3981 Ph: (505) 821-9973 |
| NPI Number | 1679970230 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679970230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | M-08334 (New Mexico) | Primary |
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