Organization · NPI-2

Epoch Behavioral Healthcare, INC.

Clinical Nurse Specialist · Albuquerque, NM

NPI number1285088658
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1285088658
Entity type
Organization (NPI-2)
Legal business name
Epoch Behavioral Healthcare, INC.
Organization subpart
No
Enumeration date
Apr 21, 2016
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364S00000X Clinical Nurse Specialist–NMYes
101YM0800X Counselor, Mental Health–NM

Practice location

11501 Montgomery Blvd Ne
Albuquerque, NM 87111-2796

Phone 575-525-8484 · Fax 575-449-2445

Mailing address

250 S Main St
Las Cruces, NM 88001-1278

Phone 575-525-8484 · Fax 575-449-2445

Authorized official

Eddie Alvarez
Credentialing Specialist
5754492718

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