Organization
BLOOM HAVEN BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LUJAN (OWNER)
(505) 916-4729
Entity
Organization
Contact information
Practice address
8206 LOUISIANA BLVD NE STE A, ALBUQUERQUE, NM 87113-1738
(505) 900-4029
(505) 212-2300
Mailing address
1380 RIO RANCHO BLVD SE, RIO RANCHO, NM 87124-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
02/07/2024
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