| NPI | 1891056909 |
|---|---|
| Other Name | FCMBH-PC |
| Entity Type | Organization |
| Authorized Contact | SHANNON SOLIS BACA Office Manager 505-200-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-08-29 |