Organization
A BALANCED PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY WHITE EAGLE LADAC (OWNER)
(505) 255-1804
Entity
Organization
Contact information
Practice address
4300 SILVER AVE SE STE F, ALBUQUERQUE, NM 87108-2748
(505) 255-1804
(505) 265-4446
Mailing address
4300 SILVER AVE SE STE F, ALBUQUERQUE, NM 87108-2748
(505) 255-1804
(505) 265-4446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
005998
NM
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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