Organization
LABYRINTH BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON GRAVELY (OWNER)
(505) 445-0774
Entity
Organization
Contact information
Practice address
1330 SAN PEDRO DR NE STE 205J, ALBUQUERQUE, NM 87110-6749
(505) 445-0774
Mailing address
1330 SAN PEDRO DR NE STE 205J, ALBUQUERQUE, NM 87110-6749
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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