Organization
CARINO FAMILY SERVICES INC
Active
Other names
Play Therapy Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BREENA TAFOYA LISW (PRESIDENT & CEO)
(575) 520-9899
Entity
Organization
Contact information
Practice address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(575) 520-9899
(505) 425-9223
Mailing address
PO BOX 84, MORA, NM 87732-0084
(575) 520-9899
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4780310
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51203782
—
NM
Enumeration date
08/27/2013
Last updated
04/14/2014
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