Organization
WAVES BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SMITH (OWNER)
(505) 596-0254
Entity
Organization
Contact information
Practice address
7510 MONTGOMERY BLVD NE STE 202, ALBUQUERQUE, NM 87109-1500
(505) 933-1978
Mailing address
7510 MONTGOMERY BLVD NE STE 202, ALBUQUERQUE, NM 87109-1500
(505) 933-1978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/30/2021
Last updated
01/09/2025
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