Organization
REVIVE THERAPY CENTER LLC
Active
Other names
Temenos Center
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY VON ERFFA LMFT (MARRIAGE AND FAMILY THERAPIST)
(505) 252-6797
Entity
Organization
Contact information
Practice address
7013 4TH ST NW STE C, LOS RANCHOS, NM 87107-6639
(505) 356-2200
(844) 272-7030
Mailing address
376 LOS RANCHOS RD NW, LOS RANCHOS, NM 87107-6532
(505) 252-6797
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/05/2024
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