| Centerpoint Child & Family Services Pc | |
|
1400 Barbara Loop Se Suite D Rio Rancho NM 87124-1088 | |
| (505) 268-3064 | |
| (505) 268-9390 |
| Full Name | Centerpoint Child & Family Services Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1400 Barbara Loop Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Mary N. Carrol (PRESIDENT/OWNER) |
| Authorized Official Contact | 5052683064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerpoint Child & Family Services Pc 3508 Elder Meadows Dr Ne Rio Rancho NM 87144-0562 Ph: (505) 268-3064 | Centerpoint Child & Family Services Pc 1400 Barbara Loop Se Suite D Rio Rancho NM 87124-1088 Ph: (505) 268-3064 |
| NPI Number | 1659551893 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659551893 | NPI | - | NPPES |
| Z2723 | Medicaid | NM | |
| NM01JA05 | Other | NM | BLUE CROSS |
| 10004123 | Other | NM | LOVELACE HEALTH PLAN |
| 4094 | Other | NM | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4094 (New Mexico) | Primary |
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