Organization
NEW MEXICO PSYCHIATRIC SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK MIRIN MD (PSYCHIATRIST)
(505) 624-2121
Entity
Organization
Contact information
Practice address
1700 N UNION AVE, ROSWELL, NM 88201-3267
(575) 208-0224
(575) 616-5626
Mailing address
PO BOX 8244, ROSWELL, NM 88202-8244
(505) 624-2121
(505) 624-7981
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
10/24/2018
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