Organization
SOLID SOCIETY OF NEW MEXICO CORP
Active
Other names
Solid Society
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT THOMAS CLARK LPCC (EXECUTIVE DIRECTOR)
(505) 758-7200
Entity
Organization
Contact information
Practice address
609 GOLD AVE SW STE 1F, ALBUQUERQUE, NM 87102-3119
(505) 758-7200
Mailing address
1933 SAN MATEO BLVD NE # 191, ALBUQUERQUE, NM 87110-5146
(505) 758-7200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40136728
—
NM
Enumeration date
05/20/2021
Last updated
10/05/2021
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