Organization
EPOCH BEHAVIORAL HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE ALVAREZ NRCMA (CREDENTIALING SPECIALIST)
(575) 449-2718
Entity
Organization
Contact information
Practice address
11501 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2796
(575) 525-8484
(575) 449-2445
Mailing address
250 S MAIN ST, LAS CRUCES, NM 88001-1278
(575) 525-8484
(575) 449-2445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NM
364S00000X
Clinical Nurse Specialist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35126876
—
NM
Enumeration date
04/21/2016
Last updated
07/21/2022
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