Organization
BERNALILLO COUNTY
Active
Organization
BERNALILLO COUNTY
Active
Other names
Children's Community Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SWISSTACK (DIRECTOR)
(505) 342-3740
Entity
Organization
Contact information
Practice address
5100 2ND ST NW, ALBUQUERQUE, NM 87107-4009
(505) 342-3799
(505) 342-3785
Mailing address
PO BOX 6506, ALBUQUERQUE, NM 87197-6506
(505) 342-3740
(505) 342-3785
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
3079
NM
251S00000X
Community/Behavioral Health Agency
3079
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17367
LOVELACE COMMERCIAL
NM
05
—
88928551
—
NM
01
—
NM600050
VALUE OPTIONS
NM
Enumeration date
12/18/2006
Last updated
09/11/2025
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