4 Winds Equestrian Center, LLC
NPI #1245507656 in Estancia, New Mexico
Provider Information
- NPI Number
- 1245507656
- Entity Type
- Organization
- Organization Name
- 4 Winds Equestrian Center, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 30, 2011
- Last Updated
- Nov 30, 2011
Practice Location
- Address
- 9031 HWY 337 SOUTH
- City
- Estancia
- State
- New Mexico
- ZIP Code
- 87016
- Phone
- (505) 384-1831
Authorized Official
- Name
- MRS. COLLEEN NOVOTNY
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (505) 384-1831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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