Culturally Intergrated Healing INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Pena Blanca, NM. Organization (NPI-2).
NPI number1336729326
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1336729326
- Entity type
- Organization (NPI-2)
- Legal business name
- Culturally Intergrated Healing INC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2021
- Certification date
- Mar 22, 2021
- Last updated
- Apr 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
816 Hwy 22Pena Blanca, NM 87041
Phone 505-205-8387 · Fax 925-421-2324
Mailing address
11024 Montgomery Blvd Ne # 171Albuquerque, NM 87111-3962
Phone 505-205-8387 · Fax 925-421-2324
Authorized official
Cam Bui
Ceo
5052058387
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