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Organization
BCH ADDICTION & TREATMENT CENTER
Active
Organization
BCH ADDICTION & TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEITHA CHARMAINE BURTON (REVENUE CYCLE MANAGER)
(505) 539-5290
Entity
Organization
Contact information
Practice address
2921 CARLISLE BLVD NE STE 125, ALBUQUERQUE, NM 87110-2865
(505) 554-1659
Mailing address
2921 CARLISLE BLVD NE STE 125, ALBUQUERQUE, NM 87110-2865
(505) 554-1659
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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