Organization
NEW MEXICO BEHAVIORAL HEALTHCARE LLC
Active
Organization
NEW MEXICO BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA J WIDENER (BILLING SUPERVISOR)
(505) 262-6588
Entity
Organization
Contact information
Practice address
1801 RANDOLPH RD SE, ALBUQUERQUE, NM 87106-4230
(702) 595-2995
Mailing address
1801 RANDOLPH RD SE, ALBUQUERQUE, NM 87106-4230
(702) 595-2995
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
05/10/2023
Last updated
04/23/2026
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