| A Balanced Path, Llc | |
|
4300 Silver Ave Se Ste F Albuquerque NM 87108-2748 | |
| (505) 255-1804 | |
| (505) 265-4446 |
| Full Name | A Balanced Path, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4300 Silver Ave Se Ste F, Albuquerque, New Mexico |
| Authorized Official Name and Position | Roy White Eagle (OWNER) |
| Authorized Official Contact | 5052551804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Balanced Path, Llc 4300 Silver Ave Se Ste F Albuquerque NM 87108-2748 Ph: (505) 255-1804 | A Balanced Path, Llc 4300 Silver Ave Se Ste F Albuquerque NM 87108-2748 Ph: (505) 255-1804 |
| NPI Number | 1194954370 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 07/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194954370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 005998 (New Mexico) | Primary |
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