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TRAUMA TREATMENT CENTER LLC NPI 1427567486


NPI Information

NPI: 1427567486
Provider Name: TRAUMA TREATMENT CENTER LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1316 JACKIE RD SE STE 900
RIO RANCHO, NM
ZIP 87124
Phone: (505) 289-1042
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TRAUMA TREATMENT CENTER LLC is a community behavioral health in Rio Rancho, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. TRAUMA TREATMENT CENTER LLC NPI is 1427567486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1316 JACKIE RD SE STE 900
RIO RANCHO, NM
ZIP 87124-612
Phone: (505) 289-1042
Fax: (505) 466-5895

The provider's authorized official is Kathlene Bunch .
The authorized official title is Owner and has the following contact phone number (505) 289-1042.

The enumeration date for this NPI number is 9/21/2017 and was last updated on 4/4/2019.


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
1101YM0800XCounselorMental HealthNo
2225X00000XOccupational TherapistNo
3261QM0855XClinic/CenterAdolescent and Children Mental Health0185071NEW MEXICONo
4251S00000XCommunity/Behavioral HealthYes

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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