Organization
THERAPEUTIC LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA L CHURCH LPPC (EXECUTIVE DIRECTOR)
(505) 268-5295
Entity
Organization
Contact information
Practice address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Mailing address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B9311
—
NM
Enumeration date
01/16/2007
Last updated
02/10/2020
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