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1992313274
RISE WOMENS SELF RECOVERY LLC
ESPANOLA, NM
NPI
1992313274
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Entity Type
Organization
Authorized Contact
MICHELLE PEIXINHO
Therapist
505-484-9154
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center Adult Mental Health
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
RISE WOMENS SELF RECOVERY LLC
507 W PUEBLO DR
ESPANOLA, NM 87532-2508
Phone number: 505-484-9154
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Mailing Address
RISE WOMENS SELF RECOVERY LLC
PO BOX 305
CHIMAYO, NM 87522-0305
Phone number: 505-484-9154
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