Organization
TAOS FAMILY AND COUPLES INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE L CHUA LMFT (PRESIDENT)
(224) 628-6373
Entity
Organization
Contact information
Practice address
827 PASEO DEL PUEBLO NORTE, TAOS, NM 87571-6887
(224) 628-6373
Mailing address
65 LAS TUSAS RD, RANCHOS DE TAOS, NM 87557-8849
(224) 628-6373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0146101
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00159549
—
NM
Enumeration date
04/26/2012
Last updated
04/26/2012
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