Whole Self Recovery | |
509 W Pueblo Dr Espanola NM 87532-2508 | |
(506) 747-3368 | |
(505) 367-0077 |
Full Name | Whole Self Recovery |
---|---|
Speciality | Clinic/center |
Location | 509 W Pueblo Dr, Espanola, New Mexico |
Authorized Official Name and Position | Kartar Khalsa (OWNER) |
Authorized Official Contact | 5059206020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Whole Self Recovery Po Box 4621 Santa Fe NM 87502-4621 Ph: (505) 920-6020 | Whole Self Recovery 509 W Pueblo Dr Espanola NM 87532-2508 Ph: (506) 747-3368 |
NPI Number | 1285109561 |
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Provider Enumeration Date | 10/12/2018 |
Last Update Date | 10/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285109561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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