Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CORAZON BEHAVIORAL HEALTH SERVICES INC
Active
Organization
CORAZON BEHAVIORAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REVA LEE HERON PHD (EXECUTIVE DIRECTOR)
(505) 662-3600
Entity
Organization
Contact information
Practice address
1362 C TRINITY DRIVE, LOS ALAMOS, NM 87544
(505) 662-3600
(505) 662-0937
Mailing address
1362 C TRINITY DRIVE, LOS ALAMOS, NM 87544
(505) 662-3600
(505) 662-0937
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9368
—
NM
Enumeration date
11/14/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up