Organization
DIETITIANSABQ
Active
Parent organization
EATING DISORDERS TREATMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EATING DISORDERS TREATMENT CENTER
Authorized official
ROBERT KEYS (EXECUTIVE DIRECTOR)
(505) 273-2512
Entity
Organization
Contact information
Practice address
5203 JUAN TABO BLVD NE, SUITE 2E, ALBUQUERQUE, NM 87111-2683
(505) 266-6121
Mailing address
5203 JUAN TABO BLVD NE, SUITE 2E, ALBUQUERQUE, NM 87111-2683
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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