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435 Saint Michaels Dr Ste B204 Santa Fe NM 87505-7681 | |
| (505) 268-0701 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 435 Saint Michaels Dr Ste B204, Santa Fe, New Mexico |
| Authorized Official Name and Position | Eric Hick (CFO) |
| Authorized Official Contact | 2706896540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
707 Broadway Blvd Ne Ste 500 Albuquerque NM 87102-2367 Ph: (505) 268-0701 | 435 Saint Michaels Dr Ste B204 Santa Fe NM 87505-7681 Ph: (505) 268-0701 |
| NPI Number | 1255780037 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255780037 | NPI | - | NPPES |
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