Abq Psychiatric Services, Llc | |
2900 Louisiana Boulevard Northeast Suite C1 Albuquerque NM 87110 | |
(505) 884-7873 | |
(844) 272-9056 |
Full Name | Abq Psychiatric Services, Llc |
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Speciality | Community/behavioral Health |
Location | 2900 Louisiana Boulevard Northeast, Albuquerque, New Mexico |
Authorized Official Name and Position | Mike T Kim (CEO) |
Authorized Official Contact | 9165053327 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Abq Psychiatric Services, Llc 2900 Louisiana Blvd Ne Suite C1 Albuquerque NM 87110-3532 Ph: (505) 884-7873 | Abq Psychiatric Services, Llc 2900 Louisiana Boulevard Northeast Suite C1 Albuquerque NM 87110 Ph: (505) 884-7873 |
NPI Number | 1932533361 |
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Provider Enumeration Date | 08/21/2013 |
Last Update Date | 09/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932533361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | FA0110305 (New Mexico) | Primary |
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