| Southwest Cares Ca Llc | |
|
552 Agua Fria St Santa Fe NM 87501-2508 | |
| (505) 982-3113 | |
| (505) 982-2462 |
| Full Name | Southwest Cares Ca Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 552 Agua Fria St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Carmine Marotta (DIRECTOR) |
| Authorized Official Contact | 5059823113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Cares Ca Llc Po Box 32390 Santa Fe NM 87594-2390 Ph: (505) 982-3113 | Southwest Cares Ca Llc 552 Agua Fria St Santa Fe NM 87501-2508 Ph: (505) 982-3113 |
| NPI Number | 1720367105 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720367105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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