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1639797483
BIRCH TRAIL, LLC
LAS VEGAS, NM
NPI
1639797483
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Entity Type
Organization
Authorized Contact
MELISSA WILLIAMSON
Owner
505-718-2472
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2020-07-08
Last Update Date
2020-08-01
Business Address
BIRCH TRAIL, LLC
210 PLAZA ST
LAS VEGAS, NM 87701-3433
Phone number: 505-426-7052
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Mailing Address
BIRCH TRAIL, LLC
600 WASHINGTON ST
LAS VEGAS, NM 87701-4235
Phone number: 505-718-2472
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