Transformed For Life, LLC
Psychiatry & Neurology, Psychiatry in Albuquerque, NM. Organization (NPI-2).
NPI number1942832001
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1942832001
- Entity type
- Organization (NPI-2)
- Legal business name
- Transformed For Life, LLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2020
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Other names
- Transformed For Life (Doing Business As)
Practice location
316 Osuna Rd Ne Ste 201Albuquerque, NM 87107-5950
Phone 505-343-2010 · Fax 505-247-8881
Mailing address
316 Osuna Rd Ne Ste 201Albuquerque, NM 87107-5950
Phone 505-343-2010 · Fax 505-247-8881
Authorized official
Jaclyn Armijo
Practice Manager
5053432010
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