| Icarus Behavioral Health | |
|
8601 Golf Course Rd Nw Albuquerque NM 87114-5775 | |
| (719) 651-7585 | |
| Not Available |
| Full Name | Icarus Behavioral Health |
|---|---|
| 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 |
|---|---|
| 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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