Organization
ANGEL PATHS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA JOHNSON (CEO)
(505) 553-1208
Entity
Organization
Contact information
Practice address
817 WEST ELLA, CORRALES, NM 87048
(505) 553-1208
(505) 999-1256
Mailing address
PO BOX 2026, CORRALES, NM 87048-2026
(505) 553-1208
(505) 217-3666
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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