Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA LEE (CFO)
(800) 477-7633
Entity
Organization
Contact information
Practice address
124 UNSER BLVD, RIO RANCHO, NM 87124
(505) 896-0928
Mailing address
1422 PASEO DE PERALTA, SANTA FE, NM 87501-4391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0122801
NM
101YM0800X
Mental Health Counselor
Primary
0122811
NM
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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