Cottontree Center
NPI #1104803675 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1104803675
- Entity Type
- Organization
- Organization Name
- Cottontree Center
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Dec 27, 2005
- Last Updated
- Mar 25, 2009
Practice Location
- Address
- 190 CENTRAL PARK SQ
- Address 2
- SUITE 105
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-4001
- Phone
- (505) 662-1419
Authorized Official
- Name
- DONNA MARIE GIAQUINTO, LPCC
- Title
- DIRECTOR
- Phone
- (505) 662-1419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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