| Lost Arts Therapeutics Llc | |
|
112 S Gold Ave Deming NM 88030-3704 | |
| (503) 679-5067 | |
| Not Available |
| Full Name | Lost Arts Therapeutics Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 112 S Gold Ave, Deming, New Mexico |
| Authorized Official Name and Position | Robert Andrew Daughetee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5036795067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lost Arts Therapeutics Llc 112 S Gold Ave Deming NM 88030-3704 Ph: (503) 679-5067 | Lost Arts Therapeutics Llc 112 S Gold Ave Deming NM 88030-3704 Ph: (503) 679-5067 |
| NPI Number | 1780327015 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780327015 | NPI | - | NPPES |
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