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CORAL VITALITY LLC

Organization (NPI-2) Active

Psychiatry & Neurology, Psychiatry

Provider Information

NPI Number
1427834431
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
121 WYATT DR STE 18, LAS CRUCES, NM, 880052961
Phone
(575) 570-3671
Fax
(575) 232-0631

Specialties & Taxonomies

Psychiatry & Neurology, Psychiatry Primary

All Addresses

MAILING

6204 BRAZOS RIVER ST

EL PASO, TX, 799321222

LOCATION

121 WYATT DR STE 18

LAS CRUCES, NM, 880052961

(575) 570-3671