Places To Go Llc

NPI 1265789077 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1265789077
Enumeration Date 08/10/2012
Last Updated 08/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THERESA SUSAN THERESA
Position OWNER
Phone (505) 489-1452
Fax
Practice Location
813 GEORGIA ST SE
ALBUQUERQUE NM, 87108-4945, US
Phone (505) 489-1452
Fax
Business Location
813 GEORGIA ST SE
ALBUQUERQUE NM, 87108-4945, US
Phone (505) 489-1452
Fax
Toxanomy
Taxonomy Code 251S00000X
License State New Mexico
License Number 0101591
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According to our database, Places To Go Llc NPI is 1265789077, taxonomy code is 251S00000X and license number is 0101591, license state is located at New Mexico. Places To Go Llc physically located at 813 Georgia St Se, Albuquerque NM, 87108-4945. NPI Number 1033115704 has the healthcare provider type.

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1265789077 NPI number is provided on an as is basis without warranty of any kind. 1265789077 is maintained by the National Plan & Provider Enumeration System. The contents of Places To Go Llc are for informational purposes only.