Organization
SUPERIOR HEALTH AND BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CALEB TOVAR BSN-RN (CEO)
(915) 478-2440
Entity
Organization
Contact information
Practice address
512 LA ENTRADA CIR, SUNLAND PARK, NM 88063-9633
(915) 478-2440
Mailing address
512 LA ENTRADA CIR, SUNLAND PARK, NM 88063-9633
(915) 478-2440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
163WG0000X
General Practice Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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