Organization
VITAL BEHAVIORAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONERCUS S STEEN (CEO)
(505) 295-3110
Entity
Organization
Contact information
Practice address
2400 LOUISIANA BLVD NE BLDG 4, ALBUQUERQUE, NM 87110-4329
(505) 295-3110
Mailing address
2400 LOUISIANA BLVD NE BLDG 4, ALBUQUERQUE, NM 87110-4329
(505) 295-3110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/22/2024
Last updated
04/02/2026
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