| White Mountain Wellness Llc | |
|
159 Mescalero Trl Ste 5 Ruidoso NM 88345-6089 | |
| (575) 937-3688 | |
| Not Available |
| Full Name | White Mountain Wellness Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 159 Mescalero Trl Ste 5, Ruidoso, New Mexico |
| Authorized Official Name and Position | Brett Nichols (GENERAL MANAGER) |
| Authorized Official Contact | 5759373688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Mountain Wellness Llc Po Box 655 Ruidoso NM 88355-0655 Ph: (844) 337-5283 | White Mountain Wellness Llc 159 Mescalero Trl Ste 5 Ruidoso NM 88345-6089 Ph: (575) 937-3688 |
| NPI Number | 1679054118 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 08/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679054118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0055C (New Mexico) | Primary |
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