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Organization

SAGE CHILD AND ADOLESCENT SERVICES

Active
Parent organization
SAGE NEUROSCIENCE CENTER INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAGE NEUROSCIENCE CENTER INC
Authorized official
DR. REUBEN SUTTER MD (CEO)
(505) 884-1114
Entity
Organization

Contact information

Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2084P0804X
Child & Adolescent Psychiatry Physician
Primary

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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