Organization · Type 2 NPI
Wild Magnolia Wellness
Community/Behavioral Health Agency · Los Ranchos, NM
Practice location
6501 4th St NW Ste H-5
Los Ranchos, NM 87107-5800
Mailing address
4304 Carlisle Blvd NE
Albuquerque, NM 87107-4811
Other practice locations
- 4304 Carlisle Blvd NE, Albuquerque, NM 87107-4811 · (505) 433-7561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 0139371 (NM) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1255820205
Wild Magnolia Wellness's National Provider Identifier is 1255820205, issued on May 4, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Los Ranchos, NM. The record was last updated on Jul 1, 2026.