Organization
META, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE ROWAN MAES PH.D. (PRESIDENT)
(505) 898-5662
Entity
Organization
Contact information
Practice address
4813 CORRALES ROAD, CORRALES, NM 87048
(505) 898-5662
Mailing address
PO BOX 531, CORRALES, NM 87048-0531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
266
NM
251S00000X
Community/Behavioral Health Agency
266
NM
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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