Organization
STATE OF NEW MEXICO
Active
Organization
STATE OF NEW MEXICO
Active
Other names
NM Behavioral Health Institute @ Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE MARTINEZ (INTERIM HOSPITAL ADMINISTRATOR)
(505) 454-2100
Entity
Organization
Contact information
Practice address
700 FRIEDMAN AVE, LAS VEGAS, NM 87701-4231
(505) 454-5100
(505) 454-0397
Mailing address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
(505) 454-2130
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76-135
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03038
—
NM
Enumeration date
08/11/2006
Last updated
08/22/2020
Update your record
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