Organization
NEUROMENTAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK WILSON PHD, MP (CLINICAL DIRECTOR)
(505) 508-5575
Entity
Organization
Contact information
Practice address
711 ENCINO PL NE STE F, ALBUQUERQUE, NM 87102-2649
(505) 508-5575
(310) 534-5591
Mailing address
711 ENCINO PL NE STE F, ALBUQUERQUE, NM 87102-2649
(505) 508-5575
(310) 534-5591
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1035
NM
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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