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Organization
ART THERAPY PSYCHOLOGICAL SERVICES LLC
Active
Organization
ART THERAPY PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY G STADLER MA (OWNER, THERAPIST)
(575) 779-5719
Entity
Organization
Contact information
Practice address
190 CENTRAL PARK SQ STE 208, LOS ALAMOS, NM 87544-4005
(575) 779-5719
Mailing address
2423 CLUB RD, LOS ALAMOS, NM 87544-1501
(575) 779-5719
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/13/2024
Last updated
03/19/2024
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