Organization
GUSTAVO MARTINEZ
Active
Other names
Interventions International
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO R MARTINEZ LCSW (OWNER)
(915) 241-7272
Entity
Organization
Contact information
Practice address
814 MYRTLE AVE, EL PASO, TX 79901-1512
(915) 241-7272
(877) 587-9452
Mailing address
814 MYRTLE AVE, EL PASO, TX 79901-1512
(915) 241-7272
(877) 587-9452
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056RY
BCBS
TX
Enumeration date
10/28/2008
Last updated
07/10/2009
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