Organization
ME TOWN ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA ANN BAIN LPCC, NCC, CEAP (OWNER)
(505) 363-3293
Entity
Organization
Contact information
Practice address
2916 GOVERNOR MABRY CT, SANTA FE, NM 87505-6438
(505) 310-9069
(505) 780-5529
Mailing address
PO BOX 28628, SANTA FE, NM 87592-8628
(505) 310-9069
(505) 780-5529
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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