| Cedar Ridge Therapy, Llc | |
|
102 Pinewood Circle Pie Town NM 87827 | |
| (575) 322-6551 | |
| Not Available |
| Full Name | Cedar Ridge Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 102 Pinewood Circle, Pie Town, New Mexico |
| Authorized Official Name and Position | Ruth Marie Monteith (CEO) |
| Authorized Official Contact | 5753226551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Ridge Therapy, Llc 102 Pinewood Circle Pie Town NM 87827 Ph: (575) 322-6551 | Cedar Ridge Therapy, Llc 102 Pinewood Circle Pie Town NM 87827 Ph: (575) 322-6551 |
| NPI Number | 1396427928 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396427928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |