Organization
CHANGE OF HEART BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO ROMERO JR. LMSW (OWNER)
(575) 635-3675
Entity
Organization
Contact information
Practice address
1776 VISTA MONTANA RD, LAS CRUCES, NM 88005-6264
(575) 635-3675
(575) 541-9082
Mailing address
1776 VISTA MONTANA RD, LAS CRUCES, NM 88005-6264
(575) 635-3675
(575) 541-9082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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