| Cardinal Path Wellness Llc | |
|
411 1/2 S 3rd St Raton NM 87740-8774 | |
| (575) 303-2260 | |
| (575) 303-4624 |
| Full Name | Cardinal Path Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 411 1/2 S 3rd St, Raton, New Mexico |
| Authorized Official Name and Position | Sarah Rebecca Bales (MANAGING CLINICIAN) |
| Authorized Official Contact | 3234803710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Path Wellness Llc Po Box 1343 Raton NM 87740-1343 Ph: (323) 480-3710 | Cardinal Path Wellness Llc 411 1/2 S 3rd St Raton NM 87740-8774 Ph: (575) 303-2260 |
| NPI Number | 1861037087 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 05/10/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861037087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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