Organization
NEW HAVEN BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
ABQ Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE HARDWRICK NP (PSYCHIATRIC MENTAL HEALTH NURSE PRA)
(817) 966-6681
Entity
Organization
Contact information
Practice address
2900 LOUISIANA BLVD NE STE C1, ALBUQUERQUE, NM 87110-3576
(505) 884-7873
(844) 272-9056
Mailing address
122 SWEET GUM ST, RED OAK, TX 75154-0139
(817) 966-6681
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/23/2021
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