Organization
JCALLAWAY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CALLAWAY (OWNER)
(505) 913-1333
Entity
Organization
Contact information
Practice address
805 EARLY ST, SANTA FE, NM 87505-1607
(505) 913-1333
Mailing address
1462 AVENIDA DE LAS AMERICA, SANTA FE, NM 87507-1073
(505) 913-1333
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
15-00131354
NM
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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