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Organization
LA BUENA VIDA, INC.
Active
Organization
LA BUENA VIDA, INC.
Active
Parent organization
LA BUENA VIDA, INC.
Other names
La Buena Vida, Inc. - Rio Rancho Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA BUENA VIDA, INC.
Authorized official
MR. STEVE MALNAR (EXECUTIVE DIRECTOR)
(505) 867-2383
Entity
Organization
Contact information
Practice address
1005 21ST ST SE, SUITES 8 & 10, RIO RANCHO, NM 87124-4030
(505) 994-4040
(505) 867-2383
Mailing address
PO BOX 1147, BERNALILLO, NM 87004-1147
(505) 867-2383
(505) 867-2383
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3034
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7034
—
NM
Enumeration date
07/28/2008
Last updated
09/08/2011
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