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Contact Information

RIO VALLE BEHAVIORAL HEALTH CENTRE
101 LIVINSTON LOOP
BLDG C SUITE 3
SANTA TERESA, NM88008
 Phone: 575-589-2025
 Fax: 575-589-2605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for RIO VALLE BEHAVIORAL HEALTH CENTRE

NPI Number 1912061235
LBN Legal business name RIO VALLE BEHAVIORAL HEALTH CENTRE
Authorized official ALEKSANDR GAZAROV - (OWNER,PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2006
Last updated 11/04/2013 - About 13 years ago
Identifiers
NM License # MD2004-0757
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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