Organization
MESA BEHAVIORAL MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAREN WATERS (CONTROLLER)
(505) 816-6700
Entity
Organization
Contact information
Practice address
6211 SAN MATEO BLVD NE, SUITE 170, ALBUQUERQUE, NM 87109-3533
(505) 816-6700
(505) 816-6701
Mailing address
6211 SAN MATEO BLVD NE, SUITE 170, ALBUQUERQUE, NM 87109-3533
(505) 816-6700
(505) 816-6701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4379483
NM
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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