Organization · Type 2 NPI

Beverly Michael

Community/Behavioral Health Agency · Grants, NM

NPI number 1295910065 Active

Practice location

1109 Mesa Blvd, Suite D
Grants, NM 87020-3038

Fax (505) 287-5115

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X03-074959-00-0 (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…

3 other providers at this address

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About NPI 1295910065

Beverly Michael's National Provider Identifier is 1295910065, issued on Dec 29, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Grants, NM. The record was last updated on Jul 7, 2008.