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Organization

CEDAR CREEK BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY WARD LCSW (PRESIDENT)
(505) 273-0982
Entity
Organization

Contact information

Practice address
708 MECHEM DR STE B, RUIDOSO, NM 88345-6952
(505) 273-0982
(575) 454-3152
Mailing address
708 MECHEM DR STE B, RUIDOSO, NM 88345-6952
(505) 273-0982

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
05/02/2024
Last updated
05/02/2024
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