Provider First Line Business Practice Location Address:
14107 SKYLINE RD NE
Provider Second Line Business Practice Location Address:
CLIMBING TREE THERAPY LLC
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-881-2589
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2010