| Cesar's Room | |
|
1421 Luisa St Ste O Santa Fe NM 87505-4073 | |
| (505) 913-0953 | |
| (505) 983-9846 |
| Full Name | Cesar's Room |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1421 Luisa St Ste O, Santa Fe, New Mexico |
| Authorized Official Name and Position | Francesca Louise Shrady (OWNER) |
| Authorized Official Contact | 5059130953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cesar's Room 120 W Santa Fe Ave Apt C Santa Fe NM 87505-8881 Ph: (505) 913-0953 | Cesar's Room 1421 Luisa St Ste O Santa Fe NM 87505-4073 Ph: (505) 913-0953 |
| NPI Number | 1689136418 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 04/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689136418 | NPI | - | NPPES |
| 50226541 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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