Eating Disorders Treatment Center | |
5203 Juan Tabo Blvd Ne Suite 2a Albuquerque NM 87111-2683 | |
(505) 266-6121 | |
(505) 221-5710 |
Full Name | Eating Disorders Treatment Center |
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Speciality | Counselor - Mental Health |
Location | 5203 Juan Tabo Blvd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Katherine Paras (ART THERAPIST) |
Authorized Official Contact | 5052666121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eating Disorders Treatment Center 5203 Juan Tabo Blvd Ne Suite 2a Albuquerque NM 87111-2683 Ph: (505) 266-6121 | Eating Disorders Treatment Center 5203 Juan Tabo Blvd Ne Suite 2a Albuquerque NM 87111-2683 Ph: (505) 266-6121 |
NPI Number | 1750737656 |
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Provider Enumeration Date | 05/10/2016 |
Last Update Date | 05/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750737656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0454 (New Mexico) | Primary |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
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