NPI 1679054118

White Mountain Wellness LLC

Organisation Psychiatric Hospital Unit Ruidoso, NM

Practice location

Address: 159 Mescalero Trl STE 5, Ruidoso, NM 88345-6089
Phone: (575) 937-3688
Mailing address: PO Box 655, Ruidoso, NM 88355-0655

Authorised official

Name: Brett Nichols
Title: General Manager
Phone: (575) 937-3688

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 0055C (NM)

Other Psychiatric Unit providers in New Mexico →

Registry record

NPI: 1679054118
Entity type: Organization
NPI issued: 23 Aug 2018
Record last updated: 23 Aug 2018

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.