Organization
CAPITAN THERAPY & BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WUDARZEWSKI (OWNER/ ADMINISTRATOR)
(505) 273-0982
Entity
Organization
Contact information
Practice address
102 EAST SMOKEY BEAR BLVD, CAPITAN, NM 88316
(505) 273-0982
Mailing address
PO BOX 1054, CAPITAN, NM 88316-1054
(505) 273-0982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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