Organization
LAND OF ENCHANTMENT YOUTH SERVICES
Active
Parent organization
LAND OF ENCHANTMENT YOUTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAND OF ENCHANTMENT YOUTH SERVICES
Authorized official
MARGARET SUEHR LPCC (EXECUTIVE DIRECTOR)
(505) 948-1811
Entity
Organization
Contact information
Practice address
1424 DEBORAH RD SE STE 205, RIO RANCHO, NM 87124-6619
(505) 636-6100
Mailing address
1424 DEBORAH RD SE STE 205, RIO RANCHO, NM 87124-6619
(505) 750-4855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
513118635
DRIVERS LICENSE
NM
Enumeration date
04/28/2021
Last updated
04/28/2021
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