Organization
HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC
Active
Other names
Haven Behavioral Hospital of Albuquerque
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TARANTINO (EVP)
(972) 464-0022
Entity
Organization
Contact information
Practice address
5400 GIBSON BLVD SE, 4TH FLOOR, ALBUQUERQUE, NM 87108-4729
(615) 393-8826
Mailing address
3102 W END AVE, SUITE 1000, NASHVILLE, TN 37203-1301
(615) 393-8826
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
2T3426
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08652856
—
NM
Enumeration date
07/02/2012
Last updated
03/24/2025
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