| Enchanted Healing Of New Mexico Llc | |
|
21 Kuhn Dr Tijeras NM 87059-8101 | |
| (505) 362-5847 | |
| Not Available |
| Full Name | Enchanted Healing Of New Mexico Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21 Kuhn Dr, Tijeras, New Mexico |
| Authorized Official Name and Position | Delasaria Lihon (OWNER) |
| Authorized Official Contact | 5053625847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enchanted Healing Of New Mexico Llc Po Box 23 Jemez Springs NM 87025-0023 Ph: (505) 362-5847 | Enchanted Healing Of New Mexico Llc 21 Kuhn Dr Tijeras NM 87059-8101 Ph: (505) 362-5847 |
| NPI Number | 1497073217 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497073217 | NPI | - | NPPES |
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