| Changing Life's Direction, LLC | |
|
4627 Corrales Rd. Corrales NM 87048 | |
| (505) 450-1948 | |
| Not Available |
| Full Name | Changing Life's Direction, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4627 Corrales Rd., Corrales, New Mexico |
| Authorized Official Name and Position | Marie Ginga (OWNER/THERAPIST) |
| Authorized Official Contact | 5054501948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Life's Direction, LLC 122 Ashley Ln Corrales NM 87048-8922 Ph: (505) 450-1948 | Changing Life's Direction, LLC 4627 Corrales Rd. Corrales NM 87048 Ph: (505) 450-1948 |
| NPI Number | 1104073451 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104073451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0083821 (New Mexico) | Primary |
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