Organization
EATING DISORDERS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE PARAS LPAT (ART THERAPIST)
(505) 266-6121
Entity
Organization
Contact information
Practice address
5203 JUAN TABO BLVD NE, SUITE 2A, ALBUQUERQUE, NM 87111-2683
(505) 266-6121
(505) 221-5710
Mailing address
5203 JUAN TABO BLVD NE, SUITE 2A, ALBUQUERQUE, NM 87111-2683
(505) 266-6121
(505) 221-5710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0454
NM
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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