# ALBUQUERQUE MIND BRAIN & BODY INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932947199
- **Authorized official:** DR. ROBERT BROCK FROST PHD (MEDICAL PSYCHOLOGIST)
- **Authorized official phone:** (801) 589-0043

## Contact information

- **Practice address:** 1201 LOMAS BLVD NW STE C, ALBUQUERQUE, NM 87102-1894
- **Practice address phone:** (801) 589-0043
- **Mailing address:** 1715 CHACOMA PL SW, ALBUQUERQUE, NM 87104-1108
- **Mailing address phone:** (801) 589-0043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2024
- **Last updated:** 07/19/2024