Organization
BEHAVIOR THERAPY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J ROURKE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(575) 644-8846
Entity
Organization
Contact information
Practice address
5075 CHATO CT, LAS CRUCES, NM 88012-9728
(575) 644-8846
(575) 522-5717
Mailing address
PO BOX 16667, LAS CRUCES, NM 88004-6667
(575) 644-8846
(575) 522-5717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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