Pivotal Treatment Group, Llc | |
2549 Twin Buttes Dr Ne Rio Rancho NM 87144-6742 | |
(505) 796-2095 | |
Not Available |
Full Name | Pivotal Treatment Group, Llc |
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Speciality | Community/behavioral Health |
Location | 2549 Twin Buttes Dr Ne, Rio Rancho, New Mexico |
Authorized Official Name and Position | Martine Lopez-bowers (OWNER) |
Authorized Official Contact | 5057962095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pivotal Treatment Group, Llc 2549 Twin Buttes Dr Ne Rio Rancho NM 87144-6742 Ph: (505) 796-2095 | Pivotal Treatment Group, Llc 2549 Twin Buttes Dr Ne Rio Rancho NM 87144-6742 Ph: (505) 796-2095 |
NPI Number | 1699221366 |
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Provider Enumeration Date | 08/31/2016 |
Last Update Date | 08/31/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699221366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0152101 (New Mexico) | Primary |
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