Organization
ABQ PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE T KIM PSY. D. (CEO)
(916) 505-3327
Entity
Organization
Contact information
Practice address
2900 LOUISIANA BOULEVARD NORTHEAST, SUITE C1, ALBUQUERQUE, NM 87110
(505) 884-7873
(844) 272-9056
Mailing address
2900 LOUISIANA BLVD NE, SUITE C1, ALBUQUERQUE, NM 87110-3532
(505) 884-7873
(884) 272-9056
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
FA0110305
NM
Other
Enumeration date
08/21/2013
Last updated
09/16/2016
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