| Selenite Health And Wellness Llc | |
|
4300 Ridgecrest Dr Se Rio Rancho NM 87124-5907 | |
| (505) 225-1975 | |
| Not Available |
| Full Name | Selenite Health And Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 4300 Ridgecrest Dr Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Abigail Banmbuh (CEO) |
| Authorized Official Contact | 5052251975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selenite Health And Wellness Llc 1199 Mirador Loop Ne Rio Rancho NM 87144-5324 Ph: (281) 682-9067 | Selenite Health And Wellness Llc 4300 Ridgecrest Dr Se Rio Rancho NM 87124-5907 Ph: (505) 225-1975 |
| NPI Number | 1447963152 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447963152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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