| Southwest Center For Child And Family Development, Llc | |
|
3250 Trinity Dr Ste D-3 Los Alamos NM 87544-2226 | |
| (505) 412-4044 | |
| Not Available |
| Full Name | Southwest Center For Child And Family Development, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3250 Trinity Dr Ste D-3, Los Alamos, New Mexico |
| Authorized Official Name and Position | Tina Goldsmith (OWNER, CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5054124044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Center For Child And Family Development, Llc 3250 Trinity Dr Ste D-3 Los Alamos NM 87544-2226 Ph: (505) 412-4044 | Southwest Center For Child And Family Development, Llc 3250 Trinity Dr Ste D-3 Los Alamos NM 87544-2226 Ph: (505) 412-4044 |
| NPI Number | 1306389580 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306389580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1155 (New Mexico) | Primary |
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