NPI 1003494303
Cottonwood Therapeutics LLC
Practice location
- Address
- 2900 Louisiana Blvd NE STE H, Albuquerque, NM 87110-3565
- Phone
- (505) 459-1260
- Mailing address
- 1800 Georgia St NE, Albuquerque, NM 87110-5903
Authorised official
- Name
- Jonathan R. Willoughby
- Title
- LCSW, Owner
- Phone
- (505) 459-1260
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003494303
- Entity type
- Organization
- NPI issued
- 30 Mar 2021
- Record last updated
- 29 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.