| 247 Dct | |
|
1836b Cerrillos Rd # 1a Santa Fe NM 87505-3576 | |
| (773) 817-5928 | |
| Not Available |
| Full Name | 247 Dct |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1836b Cerrillos Rd # 1a, Santa Fe, New Mexico |
| Authorized Official Name and Position | Wajahatuddin Macci (CFO) |
| Authorized Official Contact | 7738175928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 247 Dct 343 N Wood Dale Rd # 201a Wood Dale IL 60191-1578 Ph: () - | 247 Dct 1836b Cerrillos Rd # 1a Santa Fe NM 87505-3576 Ph: (773) 817-5928 |
| NPI Number | 1669186177 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669186177 | NPI | - | NPPES |
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