NPI 1003025883

Memorial Hospital

Organisation Psychiatric Residential Treatment Facility Albuquerque, NM

Practice location

Address: 806 Central Ave SE, Albuquerque, NM 87102-3606
Phone: (505) 247-0220
Fax: (505) 839-1296

Authorised official

Name: Carol Bickelman
Title: Ceo
Phone: (505) 352-3132

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 1100 (NM)

Other Psychiatric Residential Treatment Facility providers in New Mexico →

Registry record

NPI: 1003025883
Entity type: Organization
NPI issued: 21 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.