Organization
ACTIVATE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYSTRI HIPSHER (THERAPIST)
(505) 635-3087
Entity
Organization
Contact information
Practice address
2501 E 20TH ST STE 19, FARMINGTON, NM 87401-4447
(505) 634-9289
Mailing address
2501 E 20TH ST STE 19, FARMINGTON, NM 87401-4447
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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