Organization
SOUTHWEST CENTER FOR CHILD AND FAMILY DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA GOLDSMITH PH.D., BCBA-D (OWNER, CLINICAL PSYCHOLOGIST)
(505) 412-4044
Entity
Organization
Contact information
Practice address
3250 TRINITY DR STE D-3, LOS ALAMOS, NM 87544-2226
(505) 412-4044
Mailing address
3250 TRINITY DR STE D-3, LOS ALAMOS, NM 87544-2226
(505) 412-4044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1155
NM
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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