Organization
CAMPO BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK JONES REED (CFO)
(505) 525-8250
Entity
Organization
Contact information
Practice address
424 N MESILLA ST, LAS CRUCES, NM 88005-2566
(505) 525-8250
(505) 647-2543
Mailing address
424 N MESILLA ST, LAS CRUCES, NM 88005-2566
(505) 525-8250
(505) 647-2543
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8136
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D1001
—
NM
Enumeration date
01/05/2007
Last updated
08/22/2020
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