| NPI Details | |
|---|---|
| NPI | 1093079303 |
| Enumeration Date | 07/02/2012 |
| Last Updated | 09/18/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 5 years ago |
| Authorized Information | |
|---|---|
| Name | JANIE R JANIE |
| Position | VP/TREASURER |
| Phone | (615) 393-8826 |
| Fax | |
| Practice Location | |
|---|---|
| 5400 GIBSON BLVD SE 4TH FLOOR ALBUQUERQUE NM, 87108-4729, US |
|
| Phone | (615) 393-8826 |
| Fax | |
| Business Location | |
|---|---|
| 3102 W END AVE SUITE 1000 NASHVILLE TN, 37203-1301, US |
|
| Phone | (615) 393-8826 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 283Q00000X |
| License State | New Mexico |
| License Number | 2T3426 |
| Remove 1093079303 NPI Number | |
According to our database, Haven Behavioral Services Of Albuquerque, Llc NPI is 1093079303, taxonomy code is 283Q00000X and license number is 2T3426, license state is located at New Mexico. Haven Behavioral Services Of Albuquerque, Llc physically located at 5400 Gibson Blvd Se, Albuquerque NM, 87108-4729. NPI Number 1033115704 has the healthcare provider type.
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1093079303 NPI number is provided on an as is basis without warranty of any kind. 1093079303 is maintained by the National Plan & Provider Enumeration System. The contents of Haven Behavioral Services Of Albuquerque, Llc are for informational purposes only.
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