| Campbell Behavioral Service Inc | |
|
506 S Main St Suite 420 Las Cruces NM 88001-1207 | |
| (505) 532-9050 | |
| (505) 522-3689 |
| Full Name | Campbell Behavioral Service Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 506 S Main St, Las Cruces, New Mexico |
| Authorized Official Name and Position | Nancy J Campbell (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5055329050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Behavioral Service Inc 1300g El Paseo Rd # 135 Las Cruces NM 88001-6024 Ph: (505) 532-9050 | Campbell Behavioral Service Inc 506 S Main St Suite 420 Las Cruces NM 88001-1207 Ph: (505) 532-9050 |
| NPI Number | 1083629653 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083629653 | NPI | - | NPPES |
| 50621319 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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