Organization
BESITO MENTAL HEALTHCARE OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRANDY L SAMANIEGO LISW (OWNER)
(505) 967-9975
Entity
Organization
Contact information
Practice address
431 LUNA AVE, STE. B, OFFICE A, LOS LUNAS, NM 87031
(505) 967-9975
Mailing address
27 CRUCES LOOP, LOS LUNAS, NM 87031-0015
(505) 967-9975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-07362
NM
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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