| Southwest Cares Nv Llc | |
|
119 East Marcy St. Suite 202 Santa Fe NM 87501-2046 | |
| (505) 982-3113 | |
| Not Available |
| Full Name | Southwest Cares Nv Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 119 East Marcy St., Santa Fe, New Mexico |
| Authorized Official Name and Position | Carmine Marotta (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5059823113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Cares Nv Llc P.o. Box 32390 Santa Fe NM 87594-2390 Ph: (505) 982-3113 | Southwest Cares Nv Llc 119 East Marcy St. Suite 202 Santa Fe NM 87501-2046 Ph: (505) 982-3113 |
| NPI Number | 1053632851 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053632851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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