Organization
THE OAK BOWER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER DEON MCEACHERN PHD (CLINICAL PSYCHOLOGIST, OWNER)
(505) 503-1959
Entity
Organization
Contact information
Practice address
1201 EUBANK BLVD NE STE 1, ALBUQUERQUE, NM 87112
(505) 503-1959
(505) 369-1851
Mailing address
1201 EUBANK BLVD NE STE 1, ALBUQUERQUE, NM 87112-5300
(505) 503-1959
(505) 369-1851
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58883304
—
NM
Enumeration date
02/05/2018
Last updated
06/19/2018
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