Organization
RISE UP NEW MEXICO BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J PUTNAM LCSW (OWNER)
(505) 604-1244
Entity
Organization
Contact information
Practice address
8815 TRADEWIND RD NW, ALBUQUERQUE, NM 87121-7021
(505) 604-1244
Mailing address
8815 TRADEWIND RD NW, ALBUQUERQUE, NM 87121-7021
(505) 604-1244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/19/2019
Last updated
03/17/2020
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