Grano De Oro Family Mental Health Services

LBN: Grano De Oro Family Mental Health Services
Grano De Oro Family Mental Health Services is an health care organization with primary practice located at 1920 7Th St , Las Vegas NM 87701-4956. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Grano De Oro Family Mental Health Services can be contacted via phone (505) 617-6313, or through Grano, Rodolfo Fidencio via phone (505) 617-6313.

Contact Information

Primary practice address
1920 7Th St Las Vegas NM 87701-4956
Fax:
Website:
Authorized official contact:
Name: Grano, Rodolfo Fidencio PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0811 New Mexico

Profile Details

NPI number 1023334083
LBN Legal business name Grano De Oro Family Mental Health Services
DBA Doing business as
Authorized official Grano, Rodolfo Fidencio PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2010
Last updated Apr 15th, 2010 - about 14 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 1023334083 NPPES
New Mexico MEDICAID 17480221
New Mexico Other NM301219
New Mexico Other 1356452981

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