NEW MEXICO MENTAL HEALTH ASSOCIATES LLC NPI 1962709279

NPI Information

NPI: 1962709279
Provider Name: NEW MEXICO MENTAL HEALTH ASSOCIATES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1515 GOLF COURSE RD SE STE 201
RIO RANCHO, NM
ZIP 87124
Phone: (505) 414-7479
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NEW MEXICO MENTAL HEALTH ASSOCIATES, LLC is a mental health (including community mental health center) clinic center in Rio Rancho, NM. NEW MEXICO MENTAL HEALTH ASSOCIATES, LLC NPI is 1962709279. The provider is registered as an organization entity type.

The provider's business location address is:

1515 GOLF COURSE RD SE STE 201
RIO RANCHO, NM
ZIP 87124-586
Phone: (505) 414-7479

The provider's authorized official is Justin Richard White .
The authorized official title is Clinical Social Worker and has the following contact phone number (505) 414-7479.

The enumeration date for this NPI number is 2/22/2011 and was last updated on 2/22/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	I-07579	NEW MEXICO	Yes

What is NPI?

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

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