| Bair Foundation | |
|
755 S Telshor Blvd Ste 109-d Las Cruces NM 88011-4688 | |
| (575) 647-1604 | |
| Not Available |
| Full Name | Bair Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 755 S Telshor Blvd Ste 109-d, Las Cruces, New Mexico |
| Authorized Official Name and Position | Sue Mickolic (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7249468711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bair Foundation 755 S Telshor Blvd Ste 109-d Las Cruces NM 88011-4688 Ph: (575) 647-1604 | Bair Foundation 755 S Telshor Blvd Ste 109-d Las Cruces NM 88011-4688 Ph: (575) 647-1604 |
| NPI Number | 1487926192 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487926192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | M-07255 (New Mexico) | Primary |
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