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Organization
ALBUQUERQUE UNITED LLC
Active
Organization
ALBUQUERQUE UNITED LLC
Active
Other names
Albuquerque United Behavioral Health Serivces LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNADETTE MILLER LMHC (OWNER)
(505) 331-0369
Entity
Organization
Contact information
Practice address
1100 4TH ST NW STE A, ALBUQUERQUE, NM 87102-1416
(505) 331-0369
Mailing address
9608 BOLACK DR NE, ALBUQUERQUE, NM 87109-6352
(505) 331-0369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
NULL
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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