| Teambuilders Behavioral Health, Llc | |
|
717 W Abrahames Rd Ste D Moriarty NM 87035-8197 | |
| (505) 384-0220 | |
| (505) 384-0222 |
| Full Name | Teambuilders Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 717 W Abrahames Rd Ste D, Moriarty, New Mexico |
| Authorized Official Name and Position | Sun Vega (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5052354002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teambuilders Behavioral Health, Llc Po Box 28164 Santa Fe NM 87592-8164 Ph: (505) 501-8974 | Teambuilders Behavioral Health, Llc 717 W Abrahames Rd Ste D Moriarty NM 87035-8197 Ph: (505) 384-0220 |
| NPI Number | 1245809615 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245809615 | NPI | - | NPPES |
| 01981331 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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