New Mexico Behavioral Health Institute @ Las Vegas | |
3695 Hot Springs Blvd Las Vegas NM 87701-9549 | |
(505) 454-2100 | |
Not Available |
Full Name | New Mexico Behavioral Health Institute @ Las Vegas |
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Speciality | Psychologist - Psychoanalysis |
Location | 3695 Hot Springs Blvd, Las Vegas, New Mexico |
Authorized Official Name and Position | Steve Martinez (INTERIM ADMINISTRATOR) |
Authorized Official Contact | 5054542203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Mexico Behavioral Health Institute @ Las Vegas 3695 Hot Springs Blvd Las Vegas NM 87701-9549 Ph: (505) 454-2100 | New Mexico Behavioral Health Institute @ Las Vegas 3695 Hot Springs Blvd Las Vegas NM 87701-9549 Ph: (505) 454-2100 |
NPI Number | 1124211404 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 08/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124211404 | NPI | - | NPPES |
96296 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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