MODERN MYSTIC, LLC

Clinic/Center - Mental Health (Including Community Mental Health Center)

Active Organization
NPI: 1720445679

Practice Address

2213 BROTHERS RD
Santa Fe, NM 87505

Phone: (505) 988-7616

Specialties

Specialty Code Primary License
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X Yes T-0174411 (NM)

Frequently Asked Questions

NPI 1720445679 is the National Provider Identifier for MODERN MYSTIC, LLC, a Clinic/Center - Mental Health (Including Community Mental Health Center) provider located in Santa Fe, NM. This NPI was enumerated on January 23, 2016.

Quick Facts

NPI
1720445679
Type
Organization
Enumerated
Jan 23, 2016
Last Updated
Jan 23, 2016

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