| Pivotal Treatment Group, Llc | |
|
2549 Twin Buttes Dr Ne Rio Rancho NM 87144-6742 | |
| (505) 796-2095 | |
| Not Available |
| Full Name | Pivotal Treatment Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2549 Twin Buttes Dr Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Martine Lopez-bowers (OWNER) |
| Authorized Official Contact | 5057962095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Treatment Group, Llc 2549 Twin Buttes Dr Ne Rio Rancho NM 87144-6742 Ph: (505) 796-2095 | Pivotal Treatment Group, Llc 2549 Twin Buttes Dr Ne Rio Rancho NM 87144-6742 Ph: (505) 796-2095 |
| NPI Number | 1699221366 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699221366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0152101 (New Mexico) | Primary |
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