Organization
UNIVERSITY OF NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE MCGRATH MD (DIRECTOR)
(505) 925-7600
Entity
Organization
Contact information
Practice address
625 SILVER AVE SW, ALBUQUERQUE, NM 87102-3123
(505) 925-7600
(505) 925-7601
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
M-07057
NM
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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