| Rise Up New Mexico Behavioral Health Llc | |
|
8815 Tradewind Rd Nw Albuquerque NM 87121-7021 | |
| (505) 604-1244 | |
| Not Available |
| Full Name | Rise Up New Mexico Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8815 Tradewind Rd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Thomas J Putnam (OWNER) |
| Authorized Official Contact | 5056041244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Up New Mexico Behavioral Health Llc 8815 Tradewind Rd Nw Albuquerque NM 87121-7021 Ph: (505) 604-1244 | Rise Up New Mexico Behavioral Health Llc 8815 Tradewind Rd Nw Albuquerque NM 87121-7021 Ph: (505) 604-1244 |
| NPI Number | 1295371714 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Medicare PECOS PAC ID | 7719318872 |
|---|---|
| Medicare Enrollment ID | O20200506000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295371714 | NPI | - | NPPES |
| Provider Name | Thomas J Putnam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326560020 PECOS PAC ID: 8628409786 Enrollment ID: I20200506001175 |
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