Organization
BOSQUE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ANDRIESCU (OWNER)
(651) 295-3866
Entity
Organization
Contact information
Practice address
2304 CALLE BROCHA, SANTA FE, NM 87505-5272
(651) 295-3866
Mailing address
2304 CALLE BROCHA, SANTA FE, NM 87505-5272
(651) 295-3866
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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