Organization · Type 2 NPI
Bevilacqua LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · El Prado, NM
NPI number
1508609868
Active
Practice location
1518 Paseo Del Pueblo Norte Unit 11
El Prado, NM 87529-8004
Mailing address
PO Box 11
El Prado, NM 87529-0011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1508609868
Bevilacqua LLC's National Provider Identifier is 1508609868, issued on Jun 14, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in El Prado, NM. The record was last updated on Oct 23, 2024.