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Organization
THE OAK BOWER, LLC
Active
Organization
THE OAK BOWER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER DEON MCEACHERN PHD (CLINICAL PSYCHOLOGIST, OWNER)
(505) 503-1959
Entity
Organization
Contact information
Practice address
1201 EUBANK BLVD NE STE 1, ALBUQUERQUE, NM 87112
(505) 503-1959
(505) 369-1851
Mailing address
1201 EUBANK BLVD NE STE 1, ALBUQUERQUE, NM 87112-5300
(505) 503-1959
(505) 369-1851
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
—
58883304
—
NM
Enumeration date
02/05/2018
Last updated
06/19/2018
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