Organization
MERIDIAN BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELEINE WILSON LCSW (PRESIDENT)
(505) 903-0927
Entity
Organization
Contact information
Practice address
3908 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4504
(505) 903-0927
Mailing address
301 SAN ANDRES AVE NW, ALBUQUERQUE, NM 87107-3950
(505) 903-0927
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/08/2019
Last updated
10/07/2024
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