Cottonwood Therapy Associate

LBN: Cottontree Center
Cottonwood Therapy Associate is an health care organization with primary practice located at 190 Central Park Sq Suite 105, Los Alamos NM 87544-4001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Cottontree Center can be contacted via phone (505) 662-1419, or through Giaquinto, Donna Marie via phone (505) 662-1419.

Contact Information

Primary practice address
190 Central Park Sq Suite 105 Los Alamos NM 87544-4001
Phone: (505) 662-1419
Fax: (505) 672-1739
Website:
Map and Directions
Authorized official contact:
Name: Giaquinto, Donna Marie LPCC
Phone: (505) 662-1419

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 200110082 New Mexico

Profile Details

NPI number 1104803675
LBN Legal business name Cottontree Center
DBA Doing business as Cottonwood Therapy Associate
Authorized official Giaquinto, Donna Marie LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Mar 25th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104803675 NPPES
New Mexico MEDICAID 000B9545

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