La Buena Vida, Inc.
NPI #1578728705 in Los Lunas, New Mexico
Provider Information
- NPI Number
- 1578728705
- Entity Type
- Organization
- Organization Name
- La Buena Vida, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LA BUENA VIDA, INC.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jul 28, 2008
- Last Updated
- Jul 28, 2008
Practice Location
- Address
- 303 LUNA ST SE
- City
- Los Lunas
- State
- New Mexico
- ZIP Code
- 87031-9277
- Phone
- (505) 565-1619
Authorized Official
- Name
- MS. KIRSTEN M. CHOUBARD, LISW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (505) 867-2383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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