| Johnson-long Clinical Services Llc | |
|
1807 2nd St Ste 44 Santa Fe NM 87505-3499 | |
| (505) 360-5222 | |
| (866) 539-7654 |
| Full Name | Johnson-long Clinical Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1807 2nd St Ste 44, Santa Fe, New Mexico |
| Authorized Official Name and Position | Louise A. Long (SOLE MEMBER) |
| Authorized Official Contact | 5053605222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson-long Clinical Services Llc Po Box 29001 Santa Fe NM 87592-9001 Ph: (505) 360-5222 | Johnson-long Clinical Services Llc 1807 2nd St Ste 44 Santa Fe NM 87505-3499 Ph: (505) 360-5222 |
| NPI Number | 1669818209 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669818209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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