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Organization
LISTO HEALTH LLC
Active
Organization
LISTO HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MCCABE (CEO)
(505) 418-1777
Entity
Organization
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-5566
(505) 418-1777
Mailing address
5400 GIBSON BLVD SE STE 4, ALBUQUERQUE, NM 87108-5181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
12/05/2024
Last updated
12/10/2024
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