Organization
NOESIS INTEGRATIVE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY D GROSS PHD (CEO)
(573) 915-1313
Entity
Organization
Contact information
Practice address
6 CALLE MEDICO STE 1, SANTA FE, NM 87505-4761
(505) 273-4668
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(505) 384-7352
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75578565
—
NM
Enumeration date
08/06/2018
Last updated
08/02/2019
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