ROBERT MAXWELL

ALBUQUERQUE, NM
NPI1447349139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  LSAA #6022)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- ROBERT MAXWELL LSAA
5016 LA BAJADA RD NW
ALBUQUERQUE, NM 87105-1560
Phone number: 505-344-6738
Mailing Address
-- ROBERT MAXWELL LSAA
5016 LA BAJADA RD NW
ALBUQUERQUE, NM 87105-1560
Phone number: 505-831-9148