NPI 1285109561

Whole Self Recovery

Organisation Clinic/Center Espanola, NM

Practice location

Address: 509 W Pueblo Dr, Espanola, NM 87532-2508
Phone: (506) 747-3368
Fax: (505) 367-0077
Mailing address: PO Box 4621, Santa Fe, NM 87502-4621

Authorised official

Name: Kartar Khalsa
Title: Owner
Phone: (505) 920-6020

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1285109561
Entity type: Organization
NPI issued: 12 Oct 2018
Record last updated: 12 Oct 2018

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.