NPI | 1114304136 |
---|---|
Doing Business As | BEHAVIORAL HEALTH CLINIC - CARLSBAD |
Entity Type | Organization |
Authorized Contact | KENNETH RANDALL Chief Executive Officer 575-736-8116 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2015-04-28 |
Last Update Date | 2021-06-10 |