State of New Mexico
NPI #1932399946 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1932399946
- Entity Type
- Organization
- Organization Name
- State of New Mexico
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jul 26, 2007
- Last Updated
- Oct 29, 2007
Practice Location
- Address
- 3695 HOT SPRINGS BLVD
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-9549
- Phone
- (505) 454-2100
Authorized Official
- Name
- STEVE MARTINEZ
- Title
- INTERIM EXECUTIVE DIRECTOR/ADMINIS
- Phone
- (505) 454-2203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Psychologist - Clinical — Clinical |
| Social Worker - Clinical — Clinical |
| Family Medicine |
| Internal Medicine |
| General Practice |
| Physician Assistant - Medical — Medical |
| Nurse Practitioner |
| Clinical Nurse Specialist |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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