Organization
GUADALUPE PSYCHIATRIC AND MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE D HALL MD (SOLE OWNER)
(505) 459-6101
Entity
Organization
Contact information
Practice address
1005 21ST ST SE, STE 7, RIO RANCHO, NM 87124-4030
(505) 459-6101
Mailing address
2003 SOUTHERN BLVD SE STE 102-214, RIO RANCHO, NM 87124-3751
(505) 459-6101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20030591
NM
Other
Enumeration date
04/20/2010
Last updated
07/21/2010
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