Organization
ALBUQUERQUE MIND BRAIN & BODY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BROCK FROST PHD (MEDICAL PSYCHOLOGIST)
(801) 589-0043
Entity
Organization
Contact information
Practice address
1201 LOMAS BLVD NW STE C, ALBUQUERQUE, NM 87102-1894
(801) 589-0043
Mailing address
1715 CHACOMA PL SW, ALBUQUERQUE, NM 87104-1108
(801) 589-0043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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