Organization
TRIAD BEHAVIORAL HEALTH CARE LLC
Active
Parent organization
TRIAD BEHAVIORAL HEALTH CARE LLC
Other names
Milagro Community Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIAD BEHAVIORAL HEALTH CARE LLC
Authorized official
WILLIAM E LAFRENIERE (BILLING MANAGER)
(575) 532-1888
Entity
Organization
Contact information
Practice address
1401 S DON ROSER DR, SUITE F-1-2, LAS CRUCES, NM 88011-4567
(575) 521-4848
(575) 522-1798
Mailing address
1401 S DON ROSER DR, SUITE F-1-2, LAS CRUCES, NM 88011-4567
(575) 521-4848
(575) 522-1798
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
84-180
NM
Other
Enumeration date
11/08/2006
Last updated
11/15/2017
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