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Organization
CARDINAL PATH WELLNESS LLC
Active
Organization
CARDINAL PATH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH REBECCA BALES LCSW (MANAGING CLINICIAN)
(323) 480-3710
Entity
Organization
Contact information
Practice address
411 1/2 S 3RD ST, RATON, NM 87740-8774
(575) 303-2260
(575) 303-4624
Mailing address
PO BOX 1343, RATON, NM 87740-1343
(323) 480-3710
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
05/10/2021
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