Organization
TEAMBUILDERS BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUN VEGA (COO / ED)
(505) 235-4002
Entity
Organization
Contact information
Practice address
920 SALAZAR RD, TAOS, NM 87571-8224
(575) 751-7037
Mailing address
PO BOX 28164, SANTA FE, NM 87592-8164
(505) 216-2727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01981331
—
NM
Enumeration date
12/02/2021
Last updated
08/29/2024
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