| Pueblo Of Isleta Behavioral Health | |
|
01 Sagebrush St Isleta NM 87022-0000 | |
| (505) 869-4863 | |
| (505) 869-4881 |
| Full Name | Pueblo Of Isleta Behavioral Health |
|---|---|
| Speciality | Psychologist - Family |
| Location | 01 Sagebrush St, Isleta, New Mexico |
| Authorized Official Name and Position | Barbarta A Montano (BUSINESS MANAGER) |
| Authorized Official Contact | 5058694863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Of Isleta Behavioral Health Po Box 640 Isleta NM 87022-0000 Ph: (505) 869-4863 | Pueblo Of Isleta Behavioral Health 01 Sagebrush St Isleta NM 87022-0000 Ph: (505) 869-4863 |
| NPI Number | 1245417104 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245417104 | NPI | - | NPPES |
| 3803775 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (New Mexico) | Primary |
Isleta Health Center Bh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 01 Sagebrush St, Isleta, NM 87022 Phone: 505-869-4863 Fax: 505-869-4811 |