Organization
CHANGE OF THOUGHT INTERGRATED HEALTH SOLUTIONS
Active
Organization
CHANGE OF THOUGHT INTERGRATED HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T WILLIAMS LISW (CLINICAL DIRECTOR)
(575) 649-5898
Entity
Organization
Contact information
Practice address
205 W BOUTZ RD BLDG 4, SUITE 3, LAS CRUCES, NM 88005-3259
(575) 649-5898
(575) 652-4555
Mailing address
205 W BOUTZ RD BLDG 4, SUITE 3, LAS CRUCES, NM 88005-3259
(575) 649-5898
(575) 652-4555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12683
NM
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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