| Bosque Therapy Llc | |
|
2304 Calle Brocha Santa Fe NM 87505-5272 | |
| (651) 295-3866 | |
| Not Available |
| Full Name | Bosque Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2304 Calle Brocha, Santa Fe, New Mexico |
| Authorized Official Name and Position | Matthew Andriescu (OWNER) |
| Authorized Official Contact | 6512953866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bosque Therapy Llc 2304 Calle Brocha Santa Fe NM 87505-5272 Ph: (651) 295-3866 | Bosque Therapy Llc 2304 Calle Brocha Santa Fe NM 87505-5272 Ph: (651) 295-3866 |
| NPI Number | 1295528396 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295528396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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