Organization
INTEGRATIVE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIGI A DULANTO MD (PSYCHIATRIST)
(505) 718-6419
Entity
Organization
Contact information
Practice address
1925 ASPEN DR STE 901B, SANTA FE, NM 87505-5569
(505) 718-6419
Mailing address
30 RITO GUICU, SANTA FE, NM 87507-4301
(505) 718-6419
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2002-0451
NM
Other
Enumeration date
04/17/2011
Last updated
04/17/2011
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