Sandia Crest Mental Health LLC
NPI #1932373743 in Moriarty, New Mexico
Provider Information
- NPI Number
- 1932373743
- Entity Type
- Organization
- Organization Name
- Sandia Crest Mental Health LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Sep 19, 2012
Practice Location
- Address
- 1701 US ROUTE 66
- Address 2
- SUITE D
- City
- Moriarty
- State
- New Mexico
- ZIP Code
- 87035
- Phone
- (505) 384-1034
Authorized Official
- Name
- MR. EDWARD RAY LOBAUGH, CNS, CNP
- Title
- OWNDER
- Phone
- (505) 463-2072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent — Psychiatric/Mental Health, Child & Adolescent |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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