Organization
SIMRAN CENTER FOR HEALTH & PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTI SHANTI KAUR KHALSA PHD (CLINICAL DIRECTOR)
(505) 753-4692
Entity
Organization
Contact information
Practice address
27 SHADY LN, ESPANOLA, NM 87532-9633
(505) 753-4692
Mailing address
27 SHADY LN, ESPANOLA, NM 87532-9633
(505) 753-4692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPCC 1093
NM
251S00000X
Community/Behavioral Health Agency
MFC 28201
CA
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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