| Wt Equestrian, Llc | |
|
840 Simon Ln Sw Albuquerque NM 87105-5908 | |
| (505) 379-1974 | |
| (505) 242-4635 |
| Full Name | Wt Equestrian, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 840 Simon Ln Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Win Hopkins Simon (OWNER) |
| Authorized Official Contact | 5053791974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wt Equestrian, Llc 840 Simon Ln Sw Albuquerque NM 87105-5908 Ph: (505) 379-1974 | Wt Equestrian, Llc 840 Simon Ln Sw Albuquerque NM 87105-5908 Ph: (505) 379-1974 |
| NPI Number | 1730582529 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730582529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Mexico) | Primary |
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