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ALTA MIRA SPECIALIZED FAMILY SERVICES INC. NPI 1699833640


NPI Information

NPI: 1699833640
Provider Name: ALTA MIRA SPECIALIZED FAMILY SERVICES, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1605 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 262-0801
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ALTA MIRA SPECIALIZED FAMILY SERVICES, INC. is a community behavioral health in Albuquerque, 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. ALTA MIRA SPECIALIZED FAMILY SERVICES, INC. NPI is 1699833640. The provider is registered as an organization entity type.

The provider's business location address is:

1605 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87110-619
Phone: (505) 262-0801
Fax: (505) 262-0845

The provider's authorized official is Jim Copeland .
The authorized official title is Executive Director and has the following contact phone number (505) 262-0801.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 2/25/2008.


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
1251V00000XVoluntary or CharitableNo
2251S00000XCommunity/Behavioral HealthYes

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
1000D0067MEDICAIDNEW MEXICO
2000E7208MEDICAIDNEW 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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