Organization
VHBA OF NM LLC
Active
Other names
Viva Health Behavioral
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO GARCIA (CEO)
(575) 642-6940
Entity
Organization
Contact information
Practice address
1580 APPALOOSA DR STE C310, SUNLAND PARK, NM 88063-8904
(575) 332-9086
(575) 332-9132
Mailing address
1580 APPALOOSA DR STE C310, SUNLAND PARK, NM 88063-8904
(575) 332-9086
(575) 332-9132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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