New Mexico Dream Center Of Albuquerque
LBN: New Mexico Dream Center Of Albuquerque
New Mexico Dream Center Of Albuquerque is an health care organization with primary practice located at 126 General Chennault St Ne , Albuquerque NM 87123-2515. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty.
New Mexico Dream Center Of Albuquerque can be contacted via phone (505) 900-3833, or through Repp, Shelley via phone (505) 217-5060.
Contact Information
Primary practice address
126 General Chennault St Ne
Albuquerque NM 87123-2515
Phone: (505) 900-3833
Fax: (505) 212-6422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1477276046 |
|---|---|
| LBN Legal business name | New Mexico Dream Center Of Albuquerque |
| DBA Doing business as | |
| Authorized official | Repp, Shelley |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2022 |
| Last updated | Oct 18th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477276046 | NPPES |
| New Mexico | MEDICAID | 1023164498 |
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