Organization
LA VENTANA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORENA GARCIA CNP (PROVIDER/OWNER)
(575) 522-4602
Entity
Organization
Contact information
Practice address
1990 E LOHMAN AVE STE A, LAS CRUCES, NM 88001-3117
(575) 522-4602
(575) 522-2263
Mailing address
1990 E LOHMAN AVE STE A, LAS CRUCES, NM 88001-3117
(575) 522-4602
(575) 522-2263
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
CNP-02160
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79559247
—
NM
Enumeration date
07/24/2018
Last updated
12/10/2023
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