Organization
NEW MEXICO BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTIAT TEMITOPE OLAWUNMI NP (PMHNP)
(281) 258-5344
Entity
Organization
Contact information
Practice address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(281) 258-5344
Mailing address
18403 AUSTIN OAK LN, RICHMOND, TX 77407-2277
(281) 258-5344
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
09/27/2024
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