Labyrinth LLC
NPI #1972626463 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1972626463
- Entity Type
- Organization
- Organization Name
- Labyrinth LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 453 CERRILLOS RD
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87501-3784
- Phone
- (505) 603-0641
Authorized Official
- Name
- DR. LAWRENCE ELDEN DETTWEILER, PH.D.
- Title
- MANAGER
- Phone
- (505) 603-0641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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