| Mesa Behavioral Management, Inc. | |
|
6211 San Mateo Blvd Ne Suite 170 Albuquerque NM 87109-3533 | |
| (505) 816-6700 | |
| (505) 816-6701 |
| Full Name | Mesa Behavioral Management, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6211 San Mateo Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Caren Waters (CONTROLLER) |
| Authorized Official Contact | 5058166700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Behavioral Management, Inc. 6211 San Mateo Blvd Ne Suite 170 Albuquerque NM 87109-3533 Ph: (505) 816-6700 | Mesa Behavioral Management, Inc. 6211 San Mateo Blvd Ne Suite 170 Albuquerque NM 87109-3533 Ph: (505) 816-6700 |
| NPI Number | 1689970329 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689970329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4379483 (New Mexico) | Primary |
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