Organization
STATE OF NEW MEXICO
Active
Organization
STATE OF NEW MEXICO
Active
Other names
New Mexico Behavioral Health Institue at Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MARTINEZ (INTERIM EXECUTIVE DIRECTOR/ADMINIS)
(505) 454-2203
Entity
Organization
Contact information
Practice address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
Mailing address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
07/26/2007
Last updated
10/29/2007
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