Organization
BEHAVIORAL HEALTH SERVICES OF NEW MEXICO LLC
Active
Other names
Central Desert Behavioral Health Center, Central Desert Behavioral Health Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY WHITAKER (CEO)
(505) 243-3387
Entity
Organization
Contact information
Practice address
1525 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87102-6827
(505) 243-3387
Mailing address
1525 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87102-6827
(505) 243-3387
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15870855
—
NM
01
—
45-5996
MEDICARE PART B
—
Enumeration date
09/14/2011
Last updated
06/11/2020
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