Teambuilders Behavioral Health, Llc | |
501 S 4th St Santa Rosa NM 88435-2417 | |
(575) 472-0745 | |
(575) 472-0746 |
Full Name | Teambuilders Behavioral Health, Llc |
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Speciality | Community/behavioral Health |
Location | 501 S 4th St, Santa Rosa, 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 |
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Teambuilders Behavioral Health, Llc Po Box 28164 Santa Fe NM 87592-8164 Ph: (505) 501-8974 | Teambuilders Behavioral Health, Llc 501 S 4th St Santa Rosa NM 88435-2417 Ph: (575) 472-0745 |
NPI Number | 1760051130 |
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Provider Enumeration Date | 06/21/2021 |
Last Update Date | 02/05/2024 |
Certification Date | 02/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760051130 | NPI | - | NPPES |
01981331 | Medicaid | NM |
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