Organization
METTA THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP TATORIS (OWNER)
(505) 400-6163
Entity
Organization
Contact information
Practice address
6505 KAAS TRAIL CT NE, ALBUQUERQUE, NM 87111-7114
(505) 400-6163
Mailing address
6505 KAAS TRAIL CT NE, ALBUQUERQUE, NM 87111-7114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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