NPI: 1679710677
Provider Name: ALLISON BENTON GOSS, LLC
Former Legal Business Name: ALLISON L BENTON, LISW
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization
Specialization: Adolescent and Children Mental Health
Address:
1400 CARLISLE BLVD NE
SUITE A
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 266-2997
Get Directions
ALLISON BENTON GOSS, LLC is an adolescent and children mental health clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ALLISON BENTON GOSS, LLC NPI is 1679710677. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Allison L Benton, Lisw.
The provider's business location address is:
1400 CARLISLE BLVD NE
SUITE A
ALBUQUERQUE, NM
ZIP 87110-667
Phone: (505) 266-2997
Fax: (505) 266-3063
The provider's authorized official is Allison Benton Goss .
The authorized official title is Member and has the following contact phone number (505) 266-2997.
The enumeration date for this NPI number is 1/13/2009 and was last updated on 3/27/2009.