Corazon Behavioral Health Services Inc
LBN: Corazon Behavioral Health Services Inc
Corazon Behavioral Health Services Inc is an health care organization with primary practice located at 1362 C Trinity Drive , Los Alamos NM 87544. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Corazon Behavioral Health Services Inc can be contacted via phone (505) 662-3600, or through Heron, Reva Lee via phone (505) 662-3600.
Contact Information
Primary practice address
1362 C Trinity Drive
Los Alamos NM 87544
Phone: (505) 662-3600
Fax: (505) 662-0937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1366514861 |
|---|---|
| LBN Legal business name | Corazon Behavioral Health Services Inc |
| DBA Doing business as | |
| Authorized official | Heron, Reva Lee PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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 | 1366514861 | NPPES |
| New Mexico | MEDICAID | G9368 |
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