Bethphage
Bethphage is a Community/Behavioral Health Agency in Grants, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
Practice location Address checks out
920 Lobo Canyon Rd Ste 5AGrants, NM 87020-2173
Phone: (505) 287-9333
Fax: (505) 287-9336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (NM) |
|---|
Record details
| NPI number | 1538371521 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dean Wilson — Vp Accounting · (402) 896-3884 |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4980 S 118th St, Omaha, NE 68137-2220 |
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