| Retreat | |
|
5386 Santa Teresita Dr Santa Teresa NM 88008-9204 | |
| (575) 332-4111 | |
| Not Available |
| Full Name | Retreat |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5386 Santa Teresita Dr, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Lester Hirsch (CONTACT) |
| Authorized Official Contact | 9157312785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Retreat 5386 Santa Teresita Dr Santa Teresa NM 88008-9204 Ph: (575) 332-4111 | Retreat 5386 Santa Teresita Dr Santa Teresa NM 88008-9204 Ph: (575) 332-4111 |
| NPI Number | 1700224276 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 02/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700224276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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