Organization
ST. MARTIN'S HOSPITALITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE PATTISON PHD (EXECUTIVE DIRECTOR)
(505) 242-4399
Entity
Organization
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
(505) 248-1351
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
(505) 248-1351
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0068912
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44071388
—
NM
Enumeration date
03/20/2007
Last updated
08/22/2020
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