Organization
TEAMBUILDERS BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUN VEGA (CHIEF OPERATIONS OFFICER)
(505) 235-4002
Entity
Organization
Contact information
Practice address
101 LETTON DR, RATON, NM 87740-4366
(575) 383-2065
(575) 347-1190
Mailing address
PO BOX 28164, SANTA FE, NM 87592-8164
(505) 501-8974
(505) 501-8974
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01981331
—
NM
Enumeration date
06/21/2021
Last updated
02/05/2024
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