| Jd Behavioral Supports, Llc | |
|
425 Paseo Vista Loop Ne Rio Rancho NM 87124-4549 | |
| (505) 259-2802 | |
| (505) 892-2380 |
| Full Name | Jd Behavioral Supports, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 Paseo Vista Loop Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Jeanne E Duggins (DIRECTOR) |
| Authorized Official Contact | 5052592802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jd Behavioral Supports, Llc 425 Paseo Vista Loop Ne Rio Rancho NM 87124-4549 Ph: (505) 259-2802 | Jd Behavioral Supports, Llc 425 Paseo Vista Loop Ne Rio Rancho NM 87124-4549 Ph: (505) 259-2802 |
| NPI Number | 1649555970 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 10/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649555970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | X-07553 (New Mexico) | Primary |
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