Organization
HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE LLC
Active
Organization
HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE LLC
Active
Parent organization
HAVEN BEHAVIORAL HEALTHCARE INC
Other names
Haven Albuquerque Provider Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN BEHAVIORAL HEALTHCARE INC
Authorized official
JANIE PICKLE (VP/COMPTROLLER)
(615) 393-8809
Entity
Organization
Contact information
Practice address
5400 GIBSON BLVD. SE, 4TH FLOOR, ALBUQUERQUE, NM 87108-4763
(505) 254-4500
(505) 266-0838
Mailing address
3102 WEST END AVENUE, SUITE 1000, NASHVILLE, TN 37203-1324
(615) 393-8800
(615) 393-8844
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
01/19/2018
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