Organization · NPI-2

Baskin Psychotherapy Services LLC

Clinic/Center, Adult Mental Health · Santa Fe, NM

NPI number1114675154
StatusActive
Last updated in NPPESMar 17, 2022

Details

NPI
1114675154
Entity type
Organization (NPI-2)
Legal business name
Baskin Psychotherapy Services LLC
Organization subpart
No
Enumeration date
Mar 17, 2022
Certification date
Mar 17, 2022
Last updated
Mar 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

405 Greg Ave
Santa Fe, NM 87501-1663

Phone 608-909-1459

Mailing address

405 Greg Ave
Santa Fe, NM 87501-1663

Authorized official

Jonathan Baskin
Owner
6089091459

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