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Organization

BACA COMMUNITY HEALTH

Active
Parent organization
BACA COMMUNITY HEALTH
Other names
Baca Community Mental Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
BACA COMMUNITY HEALTH
Authorized official
LAKEITHA C BURTON (REVENUE CYCLE MANAGER)
(505) 539-5290
Entity
Organization

Contact information

Practice address
2921 CARLISLE BLVD NE STE 126, ALBUQUERQUE, NM 87110-2979
(505) 601-6257
(505) 554-1541
Mailing address
2921 CARLISLE BLVD NE STE 125, ALBUQUERQUE, NM 87110-2865
(505) 601-6257
(505) 554-1541

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/09/2026
Last updated
02/09/2026
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