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Beverly Michael
Community/Behavioral Health Agency in Grants, New Mexico
NPI 1295910065

Beverly Michael is a Community/Behavioral Health Agency based in Grants, NM. Beverly Michael practices in Grants, NM. The NPI Number for Beverly Michael is 1295910065 and holds a License No. 03-074959-00-0 (New Mexico).

The current practice location address for Beverly Michael is 1109 Mesa Blvd, Grants, NM and can be reached out via phone at 505-287-3773 and via fax at 505-287-5115.

Location: 1109 Mesa Blvd, Grants, NM, 87020-3038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295910065
Provider Name
Beverly Michael
Credential
Provider Entity Type
Organization
Address
1109 Mesa Blvd, Grants, NM, 87020-3038
Phone Number
505-287-3773
Fax Number
505-287-5115
Provider Enumeration Date
12/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24331350 05 NM
institution
Provider Business Practice Location Address Details
Address
1109 Mesa Blvd
City
Grants
State
New Mexico
Zip
87020-3038
Phone Number
505-287-3773
Fax Number
505-287-5115
person
Provider Business Mailing Address Details
Address
1109 Mesa Blvd
City
Grants
State
New Mexico
Zip
87020-3038
Phone Number
505-287-3773
Fax Number
505-287-5115
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
03-074959-00-0 (New Mexico)
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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