Organization
BORDERLAND RAINBOW CENTER
Active
Other names
Rio Grande Adelante
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA ANN RISCH LCSW (EXECUTIVE DIRECTOR)
(915) 269-5892
Entity
Organization
Contact information
Practice address
2714 WYOMING AVE, EL PASO, TX 79903-3928
(915) 263-4623
Mailing address
2714 WYOMING AVE, EL PASO, TX 79903-3928
(915) 263-4623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/30/2019
Last updated
07/02/2022
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