Organization · NPI-2

Bloom Haven Behavioral Health LLC

Community/Behavioral Health · Rio Rancho, NM

NPI number1124800776
StatusActive
Last updated in NPPESJun 29, 2026

Details

NPI
1124800776
Entity type
Organization (NPI-2)
Legal business name
Bloom Haven Behavioral Health LLC
Organization subpart
No
Enumeration date
Oct 18, 2023
Certification date
Jun 29, 2026
Last updated
Jun 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

741 Tiwa Ln Ne
Rio Rancho, NM 87124-1510

Phone 505-900-4029 · Fax 505-317-7133

Mailing address

1380 Rio Rancho Blvd Se # 431
Rio Rancho, NM 87124-1006

Phone 505-900-4029 · Fax 505-317-7133

Authorized official

Lisa Lujan
Ceo
5059164729

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