Rise Womens Self Recovery LLC
NPI #1992313274 in Espanola, New Mexico
Provider Information
- NPI Number
- 1992313274
- Entity Type
- Organization
- Organization Name
- Rise Womens Self Recovery LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jul 22, 2020
- Last Updated
- Jul 22, 2020
Practice Location
- Address
- 507 W PUEBLO DR
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2508
- Phone
- (505) 484-9154
Authorized Official
- Name
- MICHELLE PEIXINHO, LMSW
- Title
- THERAPIST
- Phone
- (505) 484-9154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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