Organization
WT EQUESTRIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WIN HOPKINS SIMON (OWNER)
(505) 379-1974
Entity
Organization
Contact information
Practice address
840 SIMON LN SW, ALBUQUERQUE, NM 87105-5908
(505) 379-1974
(505) 242-4635
Mailing address
840 SIMON LN SW, ALBUQUERQUE, NM 87105-5908
(505) 379-1974
(505) 242-4635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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