Organization
BOSQUE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE MUNOZ (ADMINISTRATIVE MANAGER)
(505) 503-6838
Entity
Organization
Contact information
Practice address
5436 TECAMEC RD NE, RIO RANCHO, NM 87144-3297
(505) 410-5648
Mailing address
5436 TECAMEC RD NE, RIO RANCHO, NM 87144-3297
(505) 410-5648
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0092241
NM
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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