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Organization

SOUTHWEST CARES CA LLC

Active
Parent organization
THE CARE GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE CARE GROUP
Authorized official
CARMINE MAROTTA (DIRECTOR)
(505) 982-3113
Entity
Organization

Contact information

Practice address
552 AGUA FRIA ST, SANTA FE, NM 87501-2508
(505) 982-3113
(505) 982-2462
Mailing address
PO BOX 32390, SANTA FE, NM 87594-2390
(505) 982-3113
(505) 982-2462

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
08/16/2011
Last updated
08/16/2011
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