Organization · NPI-2
Bosque Mental Health
Community/Behavioral Health · Rio Rancho, NM
NPI number1437520962
StatusActive
Last updated in NPPESOct 9, 2015
Details
- NPI
- 1437520962
- Entity type
- Organization (NPI-2)
- Legal business name
- Bosque Mental Health
- Organization subpart
- No
- Enumeration date
- Oct 9, 2015
- Last updated
- Oct 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 0092241 | NM | Yes |
Practice location
5436 Tecamec Rd NeRio Rancho, NM 87144-3297
Phone 505-410-5648
Mailing address
5436 Tecamec Rd NeRio Rancho, NM 87144-3297
Phone 505-410-5648
Authorized official
Annette Munoz
Administrative Manager
5055036838
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