Deer Oaks Southwest

LBN: Deer Oaks Southwest
Deer Oaks Southwest is an health care organization with primary practice located at 1112 San Pedro Dr Ne Suite 222, Albuquerque NM 87110-6724. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Deer Oaks Southwest can be contacted via phone (505) 254-3505, or through Boskind, Paul Alan via phone (210) 615-3472.

Contact Information

Primary practice address
1112 San Pedro Dr Ne Suite 222 Albuquerque NM 87110-6724
Phone: (505) 254-3505
Fax: (210) 593-9863
Website:
Map and Directions
Authorized official contact:
Name: Boskind, Paul Alan PH.D.
Phone: (210) 615-3472

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1831354620
LBN Legal business name Deer Oaks Southwest
DBA Doing business as
Authorized official Boskind, Paul Alan PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2008
Last updated Feb 5th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831354620 NPPES
Arizona MEDICAID 382270

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