Icarus Behavioral Health | |
8601 Golf Course Rd Nw Albuquerque NM 87114-5775 | |
(719) 651-7585 | |
Not Available |
Full Name | Icarus Behavioral Health |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 8601 Golf Course Rd Nw, Albuquerque, New Mexico |
Authorized Official Name and Position | Paul Covelli (OWNER) |
Authorized Official Contact | 7196517584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Icarus Behavioral Health 8601 Golf Course Rd Nw Albuquerque NM 87114-5775 Ph: (719) 651-7585 | Icarus Behavioral Health 8601 Golf Course Rd Nw Albuquerque NM 87114-5775 Ph: (719) 651-7585 |
NPI Number | 1699427344 |
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Provider Enumeration Date | 01/24/2022 |
Last Update Date | 12/08/2022 |
Certification Date | 12/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699427344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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