Organization
AMANECER PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO BASURTO PHD (PRESIDENT)
(915) 779-5600
Entity
Organization
Contact information
Practice address
1219 BARRANCA DR, STE A AND B, EL PASO, TX 79935-4601
(915) 779-5600
(915) 779-5605
Mailing address
1219 BARRANCA DR, STE A AND B, EL PASO, TX 79935-4601
(915) 779-5600
(915) 779-5605
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3550-3555
TX
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
3550-3555
TX
Other
Enumeration date
06/25/2008
Last updated
09/19/2012
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