Provider First Line Business Practice Location Address:
BLUE MESA PSYCHIATRY AND COUNSELING, LLC
Provider Second Line Business Practice Location Address:
7007 WYOMING BLVD. NE, SUITE F
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-807-3086
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2006