Eating Disorders Treatment Center
Counselor, Mental Health in Albuquerque, NM. Organization (NPI-2).
NPI number1750737656
StatusActive
Last updated in NPPESMay 10, 2016
Details
- NPI
- 1750737656
- Entity type
- Organization (NPI-2)
- Legal business name
- Eating Disorders Treatment Center
- Organization subpart
- No
- Enumeration date
- May 10, 2016
- Last updated
- May 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0454 | NM | Yes |
Practice location
5203 Juan Tabo Blvd NeSuite 2a
Albuquerque, NM 87111-2683
Phone 505-266-6121 · Fax 505-221-5710
Mailing address
5203 Juan Tabo Blvd NeSuite 2a
Albuquerque, NM 87111-2683
Phone 505-266-6121 · Fax 505-221-5710
Authorized official
Katherine Paras
Art Therapist
5052666121
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