Organization
SACRED MOUNTAIN HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY POWERS (OWNER)
(575) 491-3031
Entity
Organization
Contact information
Practice address
275 N MAIN ST, STE 3, LAS CRUCES, NM 88001-1274
(575) 491-3031
Mailing address
275 N MAIN ST, STE 3, LAS CRUCES, NM 88001-1274
(575) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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