Provider Demographics
NPI:1457955007
Name:DANTO PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:DANTO PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:DANTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-220-1223
Mailing Address - Street 1:PO BOX 22003
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87154-2003
Mailing Address - Country:US
Mailing Address - Phone:575-997-5420
Mailing Address - Fax:
Practice Address - Street 1:14204 TURNER CT NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-1836
Practice Address - Country:US
Practice Address - Phone:575-997-5420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)