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Contact Information

SAGE NEUROSCIENCE CENTER INC
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM87109-4314
 Phone: 505-884-1114
 Fax: 505-359-3010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for SAGE NEUROSCIENCE CENTER INC

NPI Number 1578644415
LBN Legal business name SAGE NEUROSCIENCE CENTER INC
Authorized official REUBEN SUTTER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 11/15/2022 - About 4 years ago
Identifiers
NM License # MD2005-0751
NM Other 1962463877 INDIVIDUAL NPI
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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