| New Mexico Behavioral Health Institute | |
|
700 Friedman Ave Las Vegas NM 87701-4231 | |
| (505) 454-5100 | |
| (505) 454-5172 |
| Full Name | New Mexico Behavioral Health Institute |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 700 Friedman Ave, Las Vegas, New Mexico |
| Authorized Official Name and Position | Corinne F Dominguez (CBS DIRECTOR) |
| Authorized Official Contact | 5054545134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Behavioral Health Institute 3695 Hot Springs Blvd Las Vegas NM 87701-9549 Ph: (505) 454-5100 | New Mexico Behavioral Health Institute 700 Friedman Ave Las Vegas NM 87701-4231 Ph: (505) 454-5100 |
| NPI Number | 1578831780 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578831780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | M-07539 (New Mexico) | Primary |
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