Organization
EXCLUSIVE PSYCHIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELENE MENDOZA CNP (OWNER)
(575) 522-2330
Entity
Organization
Contact information
Practice address
1161 MALL DR, STE C, LAS CRUCES, NM 88011-8193
(575) 522-2330
(575) 522-2344
Mailing address
1161 MALL DR, STE C, LAS CRUCES, NM 88011-8193
(575) 522-2330
(575) 522-2344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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