| Native Behavioral Health Services, Llc | |
|
4001 Office Court Dr Ste 303 Santa Fe NM 87507-4930 | |
| (505) 395-9456 | |
| (505) 930-5114 |
| Full Name | Native Behavioral Health Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4001 Office Court Dr Ste 303, Santa Fe, New Mexico |
| Authorized Official Name and Position | Hal M Agler (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5054705272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Native Behavioral Health Services, Llc 4001 Office Court Dr Ste 303 Santa Fe NM 87507-4930 Ph: (505) 395-9456 | Native Behavioral Health Services, Llc 4001 Office Court Dr Ste 303 Santa Fe NM 87507-4930 Ph: (505) 395-9456 |
| NPI Number | 1770078321 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770078321 | NPI | - | NPPES |
| 432 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-08163 (New Mexico) | Primary |
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