Organization · NPI-2

A Balanced Path, LLC

Community/Behavioral Health · Albuquerque, NM

NPI number1194954370
StatusActive
Last updated in NPPESJul 8, 2009

Details

NPI
1194954370
Entity type
Organization (NPI-2)
Legal business name
A Balanced Path, LLC
Organization subpart
No
Enumeration date
Jul 8, 2009
Last updated
Jul 8, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health005998NMYes

Practice location

4300 Silver Ave Se Ste F
Albuquerque, NM 87108-2748

Phone 505-255-1804 · Fax 505-265-4446

Mailing address

4300 Silver Ave Se Ste F
Albuquerque, NM 87108-2748

Phone 505-255-1804 · Fax 505-265-4446

Authorized official

Roy White Eagle
Owner
5052551804

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health providers in Albuquerque, NM