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NOESIS INTEGRATIVE HEALTH INC NPI 1053890418


NPI Information

NPI: 1053890418
Provider Name: NOESIS INTEGRATIVE HEALTH INC

Doing Business As: KROSSROADS BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2920 CARLISLE BLVD NE STE H-1
ALBUQUERQUE, NM
ZIP 87110
Phone: (575) 374-2032
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NOESIS INTEGRATIVE HEALTH INC is a mental health (including community mental health center) clinic center in Albuquerque, NM. NOESIS INTEGRATIVE HEALTH INC NPI is 1053890418. The provider is registered as an organization entity type.
The provider Is Doing Business As Krossroads Behavioral Health.

The provider's business location address is:

2920 CARLISLE BLVD NE STE H-1
ALBUQUERQUE, NM
ZIP 87110-867
Phone: (575) 374-2032

The provider's authorized official is Katie Webb .
The authorized official title is Director and has the following contact phone number (505) 238-2814.

The enumeration date for this NPI number is 8/7/2018 and was last updated on 2/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareNo
2261QR0800XClinic/CenterRecovery CareNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
175578565MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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