STATE OF NEW MEXICO

LAS VEGAS, NM
NPI1932399946
Doing Business AsNEW MEXICO BEHAVIORAL HEALTH INSTITUE AT LAS VEGAS
Entity TypeOrganization
Authorized ContactSTEVE MARTINEZ
Interim Executive Director/Adminis
505-454-2203
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
103TC0700X Psychologist, Clinical
1041C0700X Social Worker, Clinical
207Q00000X Family Medicine
207R00000X Internal Medicine
208D00000X General Practice
363AM0700X Physician Assistant, Medical
363L00000X Nurse Practitioner
364S00000X Clinical Nurse Specialist
Enumeration Date2007-07-26
Last Update Date2007-10-29
Business Address
STATE OF NEW MEXICO
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-9549
Phone number: 505-454-2100
Mailing Address
STATE OF NEW MEXICO
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-9549
Phone number: 505-454-2100