| Black Canvas Wholistic Therapy | |
|
1919 5th St Ste O Santa Fe NM 87505-6012 | |
| (505) 913-1641 | |
| Not Available |
| Full Name | Black Canvas Wholistic Therapy |
|---|---|
| Speciality | Art Therapist |
| Location | 1919 5th St Ste O, Santa Fe, New Mexico |
| Authorized Official Name and Position | Maqueita S Eleazer (OWNER) |
| Authorized Official Contact | 5059131641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Canvas Wholistic Therapy 2800 S Meadows Rd Unit 435 Santa Fe NM 87507-3680 Ph: (505) 913-1641 | Black Canvas Wholistic Therapy 1919 5th St Ste O Santa Fe NM 87505-6012 Ph: (505) 913-1641 |
| NPI Number | 1669173035 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669173035 | NPI | - | NPPES |
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