| Albuquerque Mind Brain & Body Institute Llc | |
|
1201 Lomas Blvd Nw Ste C Albuquerque NM 87102-1894 | |
| (801) 589-0043 | |
| Not Available |
| Full Name | Albuquerque Mind Brain & Body Institute Llc |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 1201 Lomas Blvd Nw Ste C, Albuquerque, New Mexico |
| Authorized Official Name and Position | Robert Brock Frost (MEDICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8015890043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albuquerque Mind Brain & Body Institute Llc 1715 Chacoma Pl Sw Albuquerque NM 87104-1108 Ph: (801) 589-0043 | Albuquerque Mind Brain & Body Institute Llc 1201 Lomas Blvd Nw Ste C Albuquerque NM 87102-1894 Ph: (801) 589-0043 |
| NPI Number | 1932947199 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932947199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
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