Provider Demographics
NPI:1568109767
Name:CHAPTERS LLC
Entity Type:Organization
Organization Name:CHAPTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KAMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MAC, MAT, MSP, NCPM
Authorized Official - Phone:505-227-3094
Mailing Address - Street 1:5 MOGOLLON CT
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREST
Mailing Address - State:NM
Mailing Address - Zip Code:87008-9521
Mailing Address - Country:US
Mailing Address - Phone:505-227-3094
Mailing Address - Fax:
Practice Address - Street 1:5 MOGOLLON CT
Practice Address - Street 2:
Practice Address - City:CEDAR CREST
Practice Address - State:NM
Practice Address - Zip Code:87008-9521
Practice Address - Country:US
Practice Address - Phone:505-227-3094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)