Organization · Type 2 NPI

La Buena Vida, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Los Lunas, NM

NPI number 1578728705 Active

Practice location

303 Luna St SE
Los Lunas, NM 87031-9277

Fax (505) 565-1620

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	3043 (NM)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

13 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Los Lunas

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NPI record

NPI: 1578728705
Entity type: Organization (Type 2)
Issued: Jul 28, 2008
Last updated: Jul 28, 2008
Status: Active
Subpart: Yes of La Buena Vida, Inc.

Other names

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La Buena Vida, Inc. - Los Lunas Office · other name

Authorized official

Ms. Kirsten M. Choubard, LISW
Executive Director
(505) 867-2383

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1578728705

La Buena Vida, Inc.'s National Provider Identifier is 1578728705, issued on Jul 28, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Los Lunas, NM. The record was last updated on Jul 28, 2008.