Organization
BRIGHTTRAIL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC W ROBSON (AGENT)
(850) 543-4938
Entity
Organization
Contact information
Practice address
128 PASEO VISTA LOOP NE, RIO RANCHO, NM 87124-4526
(850) 543-4938
Mailing address
128 PASEO VISTA LOOP NE, RIO RANCHO, NM 87124-4526
(850) 543-4938
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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