| La Buena Vida, Inc. - Rio Rancho Office | |
|
1005 21st St Se Suites 8 & 10 Rio Rancho NM 87124-4030 | |
| (505) 994-4040 | |
| (505) 867-2383 |
| Full Name | La Buena Vida, Inc. - Rio Rancho Office |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1005 21st St Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Steve Malnar (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5058672383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Buena Vida, Inc. - Rio Rancho Office Po Box 1147 Bernalillo NM 87004-1147 Ph: (505) 867-2383 | La Buena Vida, Inc. - Rio Rancho Office 1005 21st St Se Suites 8 & 10 Rio Rancho NM 87124-4030 Ph: (505) 994-4040 |
| NPI Number | 1831354059 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831354059 | NPI | - | NPPES |
| E7034 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3034 (New Mexico) | Primary |
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