Organization
TIGER DEN WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ADRIAN ABREU (EXECUTIVE DIRECTOR)
(505) 454-3523
Entity
Organization
Contact information
Practice address
1535 TIGER CIRCLE, RATON, NM 87740
(575) 445-3641
(575) 445-8641
Mailing address
P.O. BOX 927, LAS VEGAS, NM 87701
(505) 426-2262
(505) 454-1473
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
CL00010535
NM
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
02/11/2016
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